Individual provider · Type 1 NPI
Nicole Rae Pangborn, PA-C
Medical Physician Assistant · Sedona, AZ
NPI number
1962915967
Active
Practice location
95 Soldiers Pass Rd Ste B2
Sedona, AZ 86336-4781
Fax (928) 203-4497
Other practice locations
- 587 Prosser Hill Rd, Jamestown, NY 14701-9350 · (716) 640-8129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 6944 (AZ) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1962915967
Nicole Rae Pangborn, PA-C's National Provider Identifier is 1962915967, issued on Nov 13, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sedona, AZ. The record was last updated on Mar 17, 2018.