Individual
BETTINA PANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3500 COMANCHE RD NE STE C, ALBUQUERQUE, NM 87107-4546
(505) 998-7200
(505) 998-7220
Mailing address
3500 COMANCHE RD NE STE C, ALBUQUERQUE, NM 87107-4546
(505) 998-7200
(505) 998-7220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R30260
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26351064
—
NM
Enumeration date
03/06/2007
Last updated
10/28/2021
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