Organization
SANDIA CREST MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD RAY LOBAUGH CNS, CNP (OWNDER)
(505) 463-2072
Entity
Organization
Contact information
Practice address
1701 US ROUTE 66, SUITE D, MORIARTY, NM 87035
(505) 384-1034
Mailing address
PO BOX 3823, MORIARTY, NM 87035-3823
(505) 463-2072
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R45675
NM
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
R45675
NM
Other
Enumeration date
04/14/2008
Last updated
09/19/2012
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