Jason Michael Rotonda
Nurse Practitioner - Acute Care
601 Dr Martin Luther King Jr Ave Ne
Albuquerque
, New Mexico 87102
Jason Michael Rotonda
Nurse Practitioner - Acute Care
601 Dr Martin Luther King Jr Ave Ne
Albuquerque
, New Mexico 87102
(505) 727-8206
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Jason Michael Rotonda
- 601 Dr Martin Luther King Jr Ave Ne
- Albuquerque, NM
- Zip : 87102-3619
- Phone : (505) 727-8206
Second Address
- Jason Michael Rotonda
- 601 Dr Martin Luther King Jr Ave Ne
- Albuquerque, NM
- Zip : 87102
- Phone : (505) 727-8206
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 53629 | NM |
National Provider Identifier
| NPI | 1023596491 |
|---|---|
| Provider Name | Jason Michael Rotonda |
| First Address | Albuquerque, NM 87102-3619 |
| Second Address | Albuquerque, NM 87102 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2018 |
| Last Update Date | 04/09/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.