Individual
LAURA DIANE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
UNMH, 2211 LOMAS BOULEVARD NE, ALBUQUERQUE, NM 87102
(816) 778-6067
Mailing address
306 WALTER ST SE UNIT B, ALBUQUERQUE, NM 87102-3595
(816) 778-6067
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
57705
NM
Other
Enumeration date
01/17/2020
Last updated
06/15/2023
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