Provider Demographics
NPI:1992081608
Name:DANCY, RONALD EDWARD JR (MSN, CNP, FNP-C)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:EDWARD
Last Name:DANCY
Suffix:JR
Gender:M
Credentials:MSN, CNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 327
Mailing Address - Street 2:
Mailing Address - City:CROWNPOINT
Mailing Address - State:NM
Mailing Address - Zip Code:87313-0327
Mailing Address - Country:US
Mailing Address - Phone:505-360-6625
Mailing Address - Fax:
Practice Address - Street 1:2004 KING STREET
Practice Address - Street 2:UNIT 2
Practice Address - City:CROWNPOINT
Practice Address - State:NM
Practice Address - Zip Code:87313
Practice Address - Country:US
Practice Address - Phone:505-360-6625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN124788163W00000X
NM57859363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse