Individual
EMEM LYDIA UMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10511 GOLF COURSE RD NW STE 204, ALBUQUERQUE, NM 87114-5917
(505) 232-1100
(505) 232-1121
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 262-7215
(505) 232-1627
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9214513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84000791
—
NM
Enumeration date
11/11/2015
Last updated
07/12/2019
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