Udo, Regina Godwin
Udo, Regina Godwin is an sole proprietor health care provider with primary practice located at 1557 Monte Vista Ave , Las Cruces NM 88001-5731. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Udo, Regina Godwin can be contacted via phone (575) 532-5700.Contact Information
Primary practice address
1557 Monte Vista Ave
Las Cruces NM 88001-5731
Phone: (575) 532-5700
Fax: (575) 532-5733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP01155 | New Mexico |
Profile Details
| NPI number | 1932104569 |
|---|---|
| LBN Legal business name | Udo, Regina Godwin |
| Credentials | FNP-C MSN EDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932104569 | NPPES |
| New Mexico | Other | 32D1023577 | CLIA |
| New Mexico | Other | NM016614 | CLIA |
| New Mexico | MEDICAID | 92383521 | CLIA |
| New Mexico | Other | CNP01155 | CLIA |
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