Search › New Mexico › 183500000X
Elona Van Wagenen, PHARMD
NPI 1891003067 · on the registry since 2010
Practice
- Address
- 4800 Mcmahon Blvd Nw
Albuquerque, NM 87114 - Phone
- (505) 922-4303
- Fax
- (505) 922-4313
- Organisation at this address
- Smiths Food & Drug Centers Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico