Provider Demographics
NPI:1992351647
Name:DAAN, RITO NELSON JASMIN (FNP-C)
Entity type:Individual
Prefix:
First Name:RITO NELSON
Middle Name:JASMIN
Last Name:DAAN
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 VELARDE PL
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-4313
Mailing Address - Country:US
Mailing Address - Phone:575-521-1598
Mailing Address - Fax:
Practice Address - Street 1:2502 VELARDE PL
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4313
Practice Address - Country:US
Practice Address - Phone:575-405-1536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM57355363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily