Individual
MISS EMILY CATHERINE WABICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4801 BECKNER RD LEVEL 2 POD 2 STE 2650, OBSTETRICS AND GYNECOLOGY - SANTA FE, SANTA FE, NM 87507-3641
(505) 772-2000
(505) 772-1749
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2020-0083
NM
363AM0700X
Medical Physician Assistant
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73109045
—
NM
Enumeration date
10/02/2018
Last updated
11/03/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us