Individual provider · Type 1 NPI
Imelda Altji Pangemanan, GNP-BC
Gerontology Nurse Practitioner · Houston, TX
NPI number
1366722308
Active
Practice location
1515 Holcombe Blvd
Houston, TX 77030-4000
Mailing address
PO Box 4439
Houston, TX 77210-4439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 721130 (TX) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP120706 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1366722308
Imelda Altji Pangemanan, GNP-BC's National Provider Identifier is 1366722308, issued on Aug 23, 2011. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Houston, TX. The record was last updated on Dec 14, 2014.