Individual
ELIEZER R PANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 988-9821
(505) 946-9556
Mailing address
7912 R C GORMAN AVE NE, ALBUQUERQUE, NM 87122-2749
(505) 822-5160
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP00667
NM
363LF0000X
Family Nurse Practitioner
R32212
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37732871
—
NM
Enumeration date
01/23/2007
Last updated
02/09/2024
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