| NPI | 1144838665 |
|---|---|
| Former Name | ALBERT DUANE PANKE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN222191) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA NC0-00003) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2021-02-15 |