Organization · Type 2 NPI
Modern Edge Family Practice LLC
Family Nurse Practitioner · Albuquerque, NM
NPI number
1083593388
Active
Practice location
2440 Louisiana Blvd NE Ste 200
Albuquerque, NM 87110-4400
Fax (505) 212-4007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1083593388
Modern Edge Family Practice LLC's National Provider Identifier is 1083593388, issued on Aug 29, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albuquerque, NM. The record was last updated on Dec 20, 2025.