Individual
ASHLEY LUDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 CEDAR ST SE STE 306, ALBUQUERQUE, NM 87106-4932
(505) 253-6100
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2017-0063
NM
363AS0400X
Surgical Physician Assistant
PA.0006132
CO
Other
Enumeration date
09/13/2017
Last updated
03/18/2022
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