person
Mrs. Regina Godwin Udo, FNP-CMSNEDS
Family Nurse Practitioner in Las Cruces, New Mexico
NPI 1932104569

Regina Godwin Udo is a Family Nurse Practitioner based in Las Cruces, NM and is specialized in Family. Regina Godwin Udo practices in Las Cruces, NM and has the professional credentials of FNP-CMSNEDS. The NPI Number for Regina Godwin Udo is 1932104569 and holds a License No. CNP01155 (New Mexico).

The current practice location address for Regina Godwin Udo is 1557 Monte Vista Ave, Las Cruces, NM and can be reached out via phone at 575-532-5700 and via fax at 575-532-5733.

Location: 1557 Monte Vista Ave, Las Cruces, NM, 88001-5731
person
Provider Profile Details
NPI Number
1932104569
Provider Name
Regina Godwin Udo
Credential
FNP-CMSNEDS
Provider Entity Type
Individual
Gender
Female
Address
1557 Monte Vista Ave, Las Cruces, NM, 88001-5731
Phone Number
575-532-5700
Fax Number
575-532-5733
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32D1023577 01 NM CLIA
NM016614 01 NM BCBS
92383521 05 NM
CNP01155 01 NM NM LICENSE
institution
Provider Business Practice Location Address Details
Address
1557 Monte Vista Ave
City
State
Zip
88001-5731
Phone Number
575-532-5700
Fax Number
575-532-5733
person
Provider Business Mailing Address Details
Address
1557 Monte Vista Ave
City
State
Zip
88001-5731
Phone Number
575-532-5700
Fax Number
575-532-5733
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
CNP01155 (New Mexico)
Definition
Definition to come...
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