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Contact Information

LARISSA BALDONADO, RN
1202 MAIN ST NE STE A
LOS LUNAS, NM87031-7421
 Phone: 505-565-0070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Community Health

163WC1500X
Indicates primary specialty

NPI Profile & details for LARISSA BALDONADO · (Female)

NPI Number 1730691742
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/31/2017
Last updated 03/10/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 78581
  • NM License # RN-82564
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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