Individual
LUDY SM LLASUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2481 PROFESSIONAL CT, LAS VEGAS, NV 89128-0832
(702) 838-0400
Mailing address
2481 PROFESSIONAL CT, LAS VEGAS, NV 89128-0832
(702) 838-0400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN000677
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24-02838
—
NV
Enumeration date
09/19/2007
Last updated
09/19/2007
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