Pangan, Eliezer R

Pangan, Eliezer R is an individual health care provider with primary practice located at 1700 Cerrillos Rd , Santa Fe NM 87505-3554. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Pangan, Eliezer R can be contacted via phone (505) 988-9821.

Contact Information

Primary practice address
1700 Cerrillos Rd Santa Fe NM 87505-3554
Phone: (505) 988-9821
Fax: (505) 946-9556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP00667 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R32212 New Mexico

Profile Details

NPI number 1720132970
LBN Legal business name Pangan, Eliezer R
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Feb 9th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720132970 NPPES
New Mexico MEDICAID 37732871

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