Provider Demographics
NPI:1922167832
Name:PANTER, VIRGINIA (CNM)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:PANTER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:GINGER
Other - Middle Name:
Other - Last Name:PANTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNM
Mailing Address - Street 1:1513 LUZ DE SOL DR SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-8727
Mailing Address - Country:US
Mailing Address - Phone:505-604-2548
Mailing Address - Fax:
Practice Address - Street 1:1513 LUZ DE SOL DR SE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-8727
Practice Address - Country:US
Practice Address - Phone:505-604-2548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM536176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife