Individual
LORYN VICTORIA UDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5550 WYOMING BLVD NE, FAMILY MEDICINE, ALBUQUERQUE, NM 87109-3167
(505) 462-6600
(505) 462-6641
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-69513
NM
363LF0000X
Family Nurse Practitioner
Primary
79978
NM
Other
Enumeration date
09/11/2023
Last updated
08/06/2024
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