Individual
DOLCE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1422 PASEO DE PERALTA, SANTA FE, NM 87501-4391
(575) 835-4444
Mailing address
1300 ENTERPRISE ROAD, SOCORRO, NM 87801
(575) 835-4444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02997
NM
Other
Enumeration date
08/29/2016
Last updated
10/25/2022
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