Ilango Dharmarajan, AGPCNP-BC Valid NPI
Individual provider · Adult Health Nurse Practitioner · Santa Fe, NM
- NPI
- 1528526464
- Type
- Individual (Type 1)
- Primary specialty
- Adult Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LA2200X
- License number
- 55465 (NM)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-03-11
- Last updated
- 2022-09-24
Practice location
465 Saint Michaels Dr Ste 116
Santa Fe, NM 87505-7621
(505) 984-2600