Elizabeth Ann Vasquez, FNP-C | |
3325 Willowcreek Rd, Portage, IN 46368-5015 | |
(219) 850-4490 | |
Not Available |
Full Name | Elizabeth Ann Vasquez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3325 Willowcreek Rd, Portage, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548985559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28174919A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71013178A (Indiana) | Primary |
Entity Name | Dr Mary Tilak P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003096900 PECOS PAC ID: 1951490390 Enrollment ID: O20071207000544 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Ann Vasquez, FNP-C 711 Blaney Dr, Dyer, IN 46311-2306 Ph: (219) 677-4917 | Elizabeth Ann Vasquez, FNP-C 3325 Willowcreek Rd, Portage, IN 46368-5015 Ph: (219) 850-4490 |
Lauren A Ostrowski-winkler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3564 Scottsdale St, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-3251 | |
Roxanne Gayle Robinson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3691 Willowcreek Rd, Portage, IN 46368 Phone: 219-921-1444 Fax: 219-921-5303 | |
Jeanne B Schramm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3175 Lancer St, Portage, IN 46368 Phone: 219-762-9571 | |
Sara Elizabeth Berry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6450 Us Highway 6, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-6348 | |
Sheila Watson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6628 | |
Jessica Rose Baldwin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 | |
Patricia Evelyn Biel, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6385 Fax: 219-703-6787 |