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Clyde Richard Urbanowicz

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4727 Friendship Ave Ste 200, Pittsburgh, PA 15224-1778

PECOS Enrollment

This provider is enrolled in PECOS as CLYDE URBANOWICZ.

Based on the most recent information from CMS, provider Clyde Richard Urbanowicz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1801304209
Provider Type
Individual
Full Name
Urbanowicz, Clyde Richard
Credential
CRNP

Gender
Male
Sole Proprietor
No
Enumeration Date
1/19/2018
Last Updated
10/2/2020

Contact Information

Practice Location

4727 Friendship Ave Ste 200, Pittsburgh, PA 15224-1778

(412) 235-5810

(412) 235-5890

Mailing Location

4727 Friendship Ave Ste 200, Pittsburgh, PA 15224-1778

(412) 235-5810

(412) 235-5890

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP017715 Pennsylvania

Clyde Richard Urbanowicz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Miller, Brittani Nicole

Rent, Jonathan Andrew

Grenci, Anne

Zekany, Cassandra Marie

Montes, Cindy

Potts, Josephine M

Cullen, Jacqueline Marie

Urmann, Frances Marie

Evans, Kimberly

Biolsi, Elise Lynn