| Judith M Vergara-blake, CNP | |
|
1500 Walter St Se, Albuquerque, NM 87102-4658 | |
| (505) 272-1393 | |
| (505) 272-2177 |
| Full Name | Judith M Vergara-blake |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Women's Health Care, Ambulatory |
| Location | 1500 Walter St Se, Albuquerque, 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 |
|---|---|---|---|
| 1730169699 | NPI | - | NPPES |
| 75502330 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | R51480 (New Mexico) | Primary |
| Entity Name | UNM Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689747552 PECOS PAC ID: 7618889528 Enrollment ID: O20040110000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Judith M Vergara-blake, CNP 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 Ph: (505) 272-3120 | Judith M Vergara-blake, CNP 1500 Walter St Se, Albuquerque, NM 87102-4658 Ph: (505) 272-1393 |
Cynthia Ann Kirschenman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1408 Windridge Dr Nw, Albuquerque, NM 87120 Phone: 605-929-5032 Fax: 505-291-2102 |
Rosa Matonti, RN, MSN, CNS, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1217 1st St Nw, Albuquerque, NM 87102 Phone: 505-681-0178 |
Ryan Matson, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4806 Constitution Ave Ne, Albuquerque, NM 87110 Phone: 832-656-7173 |
Pamela Clark, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6400 Uptown Blvd Ne, Ste 360w, Albuquerque, NM 87110 Phone: 505-855-9805 Fax: 505-848-9468 |
Michelle Treme, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6400 Uptown Blvd Ne, Ste 360w, Albuquerque, NM 87110 Phone: 505-855-9805 Fax: 505-848-9468 |
Melissa Velasquez, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 933 Bradbury Dr Se, Albuquerque, NM 87106 Phone: 505-272-3120 Fax: 505-272-8060 |
Kathryn R Bright, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6400 Uptown Blvd Ne, Albuquerque, NM 87110 Phone: 505-855-9893 |