Healthcare Provider Details

I. General information

NPI: 1053234690
Provider Name (Legal Business Name): RONDA JO AKERS I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 PASEO DEL PUEBLO SUR
TAOS NM
87571-5972
US

IV. Provider business mailing address

1333 PASEO DEL PUEBLO SUR
TAOS NM
87571-5972
US

V. Phone/Fax

Practice location:
  • Phone: 575-224-6320
  • Fax: 575-224-3053
Mailing address:
  • Phone: 575-224-6320
  • Fax: 575-224-3053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number681661
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: