MEDICARE: DAN ENGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1588921852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAN ENGER

Provider Business Mailing Address
First Line	:	413 SIPAPU ST
Second Line	:
City	:	TAOS
State	:	NM
Zip	:	87571-6489
Country	:	US
Telephone Number	:	575-758-5857
Fax Number	:

Provider Business Practice Location Address
First Line	:	413 SIPAPU ST
Second Line	:
City	:	TAOS
State	:	NM
Zip	:	87571-6489
Country	:	US
Telephone Number	:	575-758-5857
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2012
Last Update Date	:	06/07/2026

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1073563326 — MR. CHARLES T WEMPLE R.N.
Practice Location Address:

413 SIPAPU ST
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87571-6489

Practice Phone: 575-758-5857
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1841242336 — MRS. TRINIDAD DE JESUS ARGUELLO RN, LISW, PH.D
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1134298912 — MRS. RICKIE MARIE CHARWOOD CASE MANAGER
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87571-6489

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1033264726 — MRS. DEBBIE KAY GOBER CASE MANAGER
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413 SIPAPU # 6952
TAOS, NM
87571-6489

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1821133042 — MR. FERNANDO CARREON BA
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413 SIPAPU , BOX 6952
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1912032913 — MS. VICTORIA LYNN WYSZYNSKI PH.D.
Practice Location Address:

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Directions to “ DAN ENGER ” Practice Location

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