| Doctor Name: | INEMESIT UDO |
| NPI Number: | 1114229051 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | CNP-01700 |
| Business Practice Address: | 5055 Mcnutt Rd Santa Teresa, NM - 880089442 |
| Business Phone Number: | 5755895005 |
| Business Fax Number: | 5755891333 |
| Mailing Address: | 1624 Monte Del Sol, EL PASO |
| State: | TX |
| Postal Code: | 799113010 |
| Phone Number: | 9153831640 |
| Fax Number: | |
| NPI Enumeration Date: | 11/29/2010 |
| NPI Last Update Date: | 04/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CNP-01700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |