Melanie Gantner, PA Valid NPI

Individual provider · Medical Physician Assistant · Las Cruces, NM

NPI

1912952003

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

PA2004-0012 (NM)

Sex

Female

Sole proprietor

No

Enumerated

2006-05-24

Last updated

2016-10-05