Individual
MS. LAURA L CASADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
401 AMHERST DR NE, ALBUQUERQUE, NM 87106-1308
(505) 417-0068
Mailing address
401 AMHERST DR NE, ALBUQUERQUE, NM 87106-1308
(505) 417-0068
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R18256
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Q7422
—
NM
01
—
R18256
LICENSE
NM
Enumeration date
07/16/2006
Last updated
07/25/2012
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