| Penny E Urbina, | |
|
333 Rio Rancho Blvd Ne Ste 203, Rio Rancho, NM 87124-1456 | |
| (505) 659-5939 | |
| Not Available |
| Full Name | Penny E Urbina |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 333 Rio Rancho Blvd Ne Ste 203, Rio Rancho, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558803718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-10405 (* (Not Available)) | Primary |
| 104100000X | Social Worker | M-08904 (New Mexico) | Secondary |
| Entity Name | Waves Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710645494 PECOS PAC ID: 5799175501 Enrollment ID: O20211210000777 |
| Mailing Address | Practice Location Address |
|---|---|
| Penny E Urbina, 333 Rio Rancho Blvd Ne Ste 203, Rio Rancho, NM 87124-1456 Ph: (505) 659-5939 | Penny E Urbina, 333 Rio Rancho Blvd Ne Ste 203, Rio Rancho, NM 87124-1456 Ph: (505) 659-5939 |
Tabatha Glerup, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1207 Golf Course Rd Se Ste C, Rio Rancho, NM 87124 Phone: 505-994-4100 Fax: 505-994-1229 | |
Sowmya Monju, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1316 Jackie Rd Se Ste 900, Rio Rancho, NM 87124 Phone: 505-404-9892 | |
Sandra M Fortier, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4351 Jager Dr Ne, Suite C, Rio Rancho, NM 87144 Phone: 505-410-5686 | |
Diana Lynn Mullen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4101 Barbara Loop Se Ste A, Rio Rancho, NM 87124 Phone: 505-900-4029 | |
Bobbi C Morris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6355 Gannett Dr Ne, Rio Rancho, NM 87144 Phone: 505-814-9707 | |
Angela M Teertstra, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Night Sky Ave Ne, Rio Rancho, NM 87144 Phone: 505-896-3378 | |
Rebecca Kathleen Davis-duran, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4011 Barbara Loop Se Ste 208, Rio Rancho, NM 87124 Phone: 505-219-1125 |