Most Relevant Information
Provider Data
| NPI Number: | 1003327487 |
| Provider Name: | ELISE NICOLE PEDIGO PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/12/2017 |
| Last Updated: | 08/16/2023 |
Provider Practice Location
630 HAINES AVE NW
ALBUQUERQUE
NM
871021226
Practice Location Phone/Fax
| Phone: | 5052685611 |
| Fax: | 5052685736 |
Provider Mailing Location
3864 MASTHEAD ST NE UNIT E2
ALBUQUERQUE
NM
871094479
Provider Mailing Phone/Fax
| Phone: | 5053564178 |
| Fax: |