Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ian Udsen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831793330

Ian Udsen is a Student in an Organized Health Care Education/Training Program in Newport News, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1031 Loftis Blvd Ste 100
Newport News, VA 23606-2981
Phone: (757) 736-9860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Fairfax Ave, Norfolk, VA 23507-1428 — (757) 446-5600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110007951 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831793330
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 24, 2020
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021

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