Manda Sloan-Van Bibber, PAC

Individual Active
NPI 1699764092
Medical Physician Assistant Albuquerque, NM

Manda Sloan-Van Bibber, PAC holds NPI 1699764092, with a primary taxonomy of medical physician assistant and a practice location in Albuquerque, NM. The number was issued on October 18, 2005 and the NPPES record was last updated on July 10, 2021. The record lists 2 taxonomy codes. One additional practice location is listed.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 95-PA-15 (NM)
Medical Physician Assistant 363AM0700X 572 (CO)

Practice locations

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153
Phone: (505) 265-1711
2095 N Dolores Rd
2095 North Dolores Rd
Cortez, CO 81321-8924
Phone: (970) 564-1037

Local context

Active NPPES records list 164 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 148 of them within 10 miles.

The same primary taxonomy is listed by 279 in New Mexico and 40,076 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Manda Loree Sloan-Van Bibber
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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