Individual
MRS. REGINA GODWIN UDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C MSN EDS
Contact information
Practice address
1557 MONTE VISTA AVE, LAS CRUCES, NM 88001-5731
(575) 532-5700
(575) 532-5733
Mailing address
1557 MONTE VISTA AVE, LAS CRUCES, NM 88001-5731
(575) 532-5700
(575) 532-5733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01155
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32D1023577
CLIA
NM
05
—
92383521
—
NM
01
—
CNP01155
NM LICENSE
NM
01
—
NM016614
BCBS
NM
Enumeration date
06/20/2005
Last updated
03/07/2023
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