Healthcare Provider Details

I. General information

NPI: 1669388682
Provider Name (Legal Business Name): AARON JOSEPH VOLK RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 SCHOOL LOOP
MORIARTY NM
87035
US

IV. Provider business mailing address

PO BOX 63
MORIARTY NM
87035-0063
US

V. Phone/Fax

Practice location:
  • Phone: 505-832-5749
  • Fax:
Mailing address:
  • Phone: 505-410-1591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number63945
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: