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Individual

CASSANDRA MARIE EDLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP-C, MSN, RN

Contact information

Practice address
5123 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-2672
(505) 292-3333
Mailing address
783 SILVERBERRY CIR SE UNIT B, ALBUQUERQUE, NM 87116-3108
(815) 793-7076

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.024502
IL
363L00000X
Nurse Practitioner
Primary
75418
NM

Other

Enumeration date
01/31/2022
Last updated
10/16/2024
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