Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IAN UDSEN
Active Sole ProprietorIAN UDSEN is a Physician Assistant healthcare provider located in NEWPORT NEWS, Virginia. NPI 1831793330 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NEWPORT NEWS, VA
Registration Details
- NPI Number
- 1831793330
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 24, 2020 (5.7129885453116 yrs)
- Last Updated
- Aug 18, 2021
- License
-
0110007951 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1031 LOFTIS BLVD STE 100NEWPORT NEWS, VA, 236062981Browse VA providers · Browse ZIP 23606
- Phone
- 7577369860
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in NEWPORT NEWS, VA
| Name | Credential | NPI |
|---|---|---|
| LYNN C KELLY | PA | 1811993942 |
| CHERYL LOUISE MILLER | PA | 1154315240 |
| MR. KENNETH JAMES MEEHAN | PA-C | 1740252683 |
| GREGORY STEVEN DAVIDSON | PA | 1619934023 |
| ERIKA RANELLONE | PA-C | 1770534414 |
| JEFFREY A. TAYLOR | PA | 1407893563 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.