Individual
JUDITH LU ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6100 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4163
(505) 340-0700
(505) 340-0701
Mailing address
14 CAMINO OJO DE LA CASA, PLACITAS, NM 87043-8692
(505) 404-8094
(505) 404-8353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R19305
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78828007
—
NM
01
—
R19305
CNP
NM
Enumeration date
06/27/2006
Last updated
12/22/2011
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