Individual
LAURIE MORELAND DULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP 1952382
FL
363LF0000X
Family Nurse Practitioner
Primary
CNP01905
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AH840Z
MEDICARE PTAN
—
Enumeration date
03/07/2007
Last updated
09/25/2014
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