Provider Demographics
NPI:1083751697
Name:ARMIJO, DARLENE J (RN)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:J
Last Name:ARMIJO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 OUTPOST TRL
Mailing Address - Street 2:
Mailing Address - City:PONDEROSA
Mailing Address - State:NM
Mailing Address - Zip Code:87044-9768
Mailing Address - Country:US
Mailing Address - Phone:505-834-0219
Mailing Address - Fax:
Practice Address - Street 1:110 SHEEP SPRINGS ROAD
Practice Address - Street 2:
Practice Address - City:JEMEZ PUEBLO
Practice Address - State:NM
Practice Address - Zip Code:87024
Practice Address - Country:US
Practice Address - Phone:505-834-7413
Practice Address - Fax:505-834-3082
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR41852163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care