Susan Frances Donlon, RN
Individual provider Active NPI Community Health Registered Nurse · Dulce, NM
NPI 1427160282 · NPPES record last updated May 29, 2008
Key facts
- NPI
- 1427160282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 52753 (CO)
- Practice address
- 12000 Stone Lake Rd
Dulce, NM 87528 - Phone
- (505) 759-7216
- Fax
- (505) 759-7289
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52753 | CO | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 52753 | CO | Yes |
Addresses
Primary practice location
12000 Stone Lake Rd
Dulce, NM 87528
Mailing address
43 Oakwood Cir
Pagosa Springs, CO 81147-9354
Phone (970) 731-2901
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSZ196 | Other | NM | MEDICARE PART B |
| 000K3526 | Medicaid | NM |
Other providers in Dulce, NM
- Diana Connell
- Susan Constance
- Samuel Taylor Cropp
- Marie Tallent Deloach
- DHHS/IHS/Aao/Jsu/Dulce Health Center
- Dulce Health Center
- Dulce Independent School District
- Dulce Independent Schools
- Carrie Lynn Emens
- Sonja H Emerson
All providers in Dulce, NM · Community Health Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.