Ma Vanessa S Mabazza, APRN,NP-C,AGPCNP-BC | |
2550 Hauser Ross Drive, Suite 350, Sycamore, IL 60178 | |
(815) 758-7700 | |
(815) 756-6103 |
Full Name | Ma Vanessa S Mabazza |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2550 Hauser Ross Drive, Sycamore, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780175380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209017671 (Illinois) | Primary |
Entity Name | Elite Cardiology Solutions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740428184 PECOS PAC ID: 1850448549 Enrollment ID: O20090415000530 |
Mailing Address | Practice Location Address |
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Ma Vanessa S Mabazza, APRN,NP-C,AGPCNP-BC 2550 Hauser Ross Dr Ste 350, Sycamore, IL 60178-3181 Ph: (815) 758-7700 | Ma Vanessa S Mabazza, APRN,NP-C,AGPCNP-BC 2550 Hauser Ross Drive, Suite 350, Sycamore, IL 60178 Ph: (815) 758-7700 |
Mrs. Jessica R Anderson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 E Plank Rd, Sycamore, IL 60178 Phone: 844-599-3700 | |
Deepak Sharma, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 437 W State St Apt 101, Sycamore, IL 60178 Phone: 630-550-1058 Fax: 815-205-4545 | |
Megan Fish, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 Gateway Dr Ste 103, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-756-4892 | |
Mrs. Teresa Kay Farris, APN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Drive, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-758-7298 | |
Jennifer Tarvestad, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-756-4892 | |
Nicole Rodiek, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2127 Midlands Ct Unit 203, Sycamore, IL 60178 Phone: 815-758-8106 Fax: 815-758-8108 | |
Ms. Linda Ann Myers, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 760 Foxpointe Dr, Sycamore, IL 60178 Phone: 815-748-8334 Fax: 815-748-1587 |