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Individual

MRS. DONNA LEE RODARTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1235 8TH ST, LAS VEGAS, NM 87701-4219
(505) 425-6788
Mailing address
PO BOX 865, SPRINGER, NM 87747-0865
(832) 344-8558

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-87021
NM
363LF0000X
Family Nurse Practitioner
Primary
APRNCNP89158
NM

Other

Enumeration date
08/04/2020
Last updated
04/20/2026
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