IndividualActive
Jonah Panowski
NPI 1679358931 · Acute Care Nurse Practitioner · Albuquerque, NM
Provider details
- NPI number
- 1679358931
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 75399 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2211 Lomas Blvd Ne
Albuquerque, NM 87106-2719
Phone: (505) 272-2111
Approximate (ZIP-level) locationGet directions
Mailing address
2211 Lomas Blvd Ne
Albuquerque, NM 87106-2719
Additional practice locations (1)
- 1213 University Blvd NeAlbuquerque, NM 87102-1703Phone: (505) 925-7680
Registry dates
- Enumerated
- 2023-08-25
- Last updated
- 2023-11-16
- Certified
- 2023-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.