Provider Demographics
NPI:1134862436
Name:RISOTTO-URBANOWICZ, ERIN GLADYS (MD, MPH)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:GLADYS
Last Name:RISOTTO-URBANOWICZ
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:GLADYS
Other - Last Name:URBANOWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:MSC10 5610
Mailing Address - Street 2:1 UNIVERSITY OF NEW MEXICO
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:81731
Mailing Address - Country:US
Mailing Address - Phone:505-272-4161
Mailing Address - Fax:505-272-2776
Practice Address - Street 1:MSC10 5610
Practice Address - Street 2:1 UNIVERSITY OF NEW MEXICO
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:81731
Practice Address - Country:US
Practice Address - Phone:505-272-4161
Practice Address - Fax:505-272-2776
Is Sole Proprietor?:No
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program