Individual
MR. TOM ANTHONY PANTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 SILVER AVE SE, ALBUQUERQUE, NM 87102-3637
(505) 850-2933
Mailing address
715 SILVER AVE SE, ALBUQUERQUE, NM 87102-3637
(505) 850-2933
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
CNP00214
NM
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
CNP00214
NM
Other
Enumeration date
10/16/2009
Last updated
04/05/2016
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