Individual provider · Type 1 NPI

Manda Loree Sloan-Van Bibber, PAC

Medical Physician Assistant · Albuquerque, NM

NPI number 1699764092 Active

Practice location

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153

Call (505) 265-1711 Map

Other practice locations

  • 2095 N Dolores Rd, 2095 North Dolores Rd, Cortez, CO 81321-8924 · (970) 564-1037

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X95-PA-15 (NM)
Medical Physician Assistant 363AM0700X572 (CO)

Medical Physician Assistant: Definition to come...

658 other providers at this address

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About NPI 1699764092

Manda Loree Sloan-Van Bibber, PAC's National Provider Identifier is 1699764092, issued on Oct 18, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 10, 2021.