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Organization

MODERN EDGE FAMILY PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SONYA WALSH CNP (OWNER/NURSE PRACTITIONER)
(505) 370-9195
Entity
Organization

Contact information

Practice address
2440 LOUISIANA BLVD NE STE 200, ALBUQUERQUE, NM 87110-4400
(505) 370-9195
(505) 212-4007
Mailing address
2440 LOUISIANA BLVD NE STE 200, ALBUQUERQUE, NM 87110-4400
(505) 370-9195
(505) 212-4007

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
08/29/2025
Last updated
12/20/2025
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