EDWARD CHARLES GABALDON NPI 1285359190

NPI Information

  • NPI: 1285359190
  • Provider Name: EDWARD CHARLES GABALDON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1044 MAIN ST NE
    LOS LUNAS, NM
    ZIP 87031
  • Phone: (505) 814-1995

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NPI Details

Edward Charles Gabaldon is a family nurse practitioner in Los Lunas, NM with 5 years of experience. Edward Charles Gabaldon NPI is 1285359190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1044 MAIN ST NE
LOS LUNAS, NM
ZIP 87031-401
Phone: (505) 814-1995

The NPI 1285359190 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2022 and was last updated on 10/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily69205NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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