NPI 1003327487

Elise Nicole Pedigo, PAC

Practitioner Physician Assistant Albuquerque, NM

Practice location

Address: 630 Haines Ave NW, Albuquerque, NM 87102-1226
Phone: (505) 268-5611
Fax: (505) 268-5736
Mailing address: 3864 Masthead St NE Unit E2, Albuquerque, NM 87109-4479

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA2017-0099 (NM)

Other Physician Assistant providers in New Mexico →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Registry record

NPI: 1003327487
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Oct 2017
Record last updated: 16 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.