person
Douglas Ivan Ludington, NP
Family Nurse Practitioner in Edgewood, New Mexico
NPI 1982113445

Douglas Ivan Ludington is a Family Nurse Practitioner based in Cedar Crest, NM and is specialized in Family. Douglas Ivan Ludington practices in Edgewood, NM and has the professional credentials of NP. The NPI Number for Douglas Ivan Ludington is 1982113445 and holds a License No. CNP-03395 (New Mexico).

The current practice location address for Douglas Ivan Ludington is 104 Quail Trail, Edgewood, NM and can be reached out via phone at 505-208-0204.

Location: 104 Quail Trail, Edgewood, NM, 87008-9499
person
Provider Profile Details
NPI Number
1982113445
Provider Name
Douglas Ivan Ludington
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
104 Quail Trail, Edgewood, NM, 87008-9499
Phone Number
505-208-0204
Fax Number
Provider Enumeration Date
09/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 Quail Trail
City
State
Zip
87015
Phone Number
505-208-0204
Fax Number
person
Provider Business Mailing Address Details
Address
104 Quail Trail
City
State
Zip
87015
Phone Number
505-208-0204
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
CNP-03395 (New Mexico)
Definition
Definition to come...
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