Wellformed AI

NPI 1962596338 · live from the CMS NPI Registry

Nancy A Baltus, PA-C

Physician Assistant, Medical in Albuquerque, NM. National Provider Identifier 1962596338, active.

NPI record

NPI1962596338 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant, Medical 363AM0700X
Practice location9551 Paseo Del Norte Ne, Unit D, Albuquerque, NM 87122
Practice phone505-800-7045
EnumeratedOctober 3, 2006
Last updatedJuly 21, 2016
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine207Q00000XPA2003-0029 (NM)
Physician Assistant, Medical primary363AM0700XPA2003-0029 (NM)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.