Nichole E Venzara, | |
255 Stewart Dr, Merritt Island, FL 32952-6414 | |
(321) 302-6574 | |
Not Available |
Full Name | Nichole E Venzara |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 255 Stewart Dr, Merritt Island, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043875545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11001702 (Florida) | Primary |
Entity Name | Complete Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801252457 PECOS PAC ID: 8123326113 Enrollment ID: O20160407000235 |
Entity Name | Island Dermatology And Wellness |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992499685 PECOS PAC ID: 8224486089 Enrollment ID: O20231205000512 |
Mailing Address | Practice Location Address |
---|---|
Nichole E Venzara, 255 Stewart Dr, Merritt Island, FL 32952-6414 Ph: (321) 302-6574 | Nichole E Venzara, 255 Stewart Dr, Merritt Island, FL 32952-6414 Ph: (321) 302-6574 |
Mr. Leander Jostin Beams Sr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45 Mcleod St, Merritt Island, FL 32953 Phone: 321-452-2016 | |
Mrs. Cori Megan Daniels, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2409 Willowbrook Rd, Merritt Island, FL 32952 Phone: 321-863-8215 | |
Michelle M Dymond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 260 N Tropical Trl Ste 105, Merritt Island, FL 32953 Phone: 321-720-5288 | |
Ms. Mary Ann Davidson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 N Courtenay Pkwy, Merritt Island, FL 32953 Phone: 321-633-3162 Fax: 321-684-7872 | |
Mrs. Kimberly Deniese Mcdaniel, AUTONOMOUS APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 775 E Merritt Island Cswy Ste 115, Merritt Island, FL 32952 Phone: 321-349-0642 Fax: 321-349-0643 | |
Anabel P Pereda, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 N Sykes Creek Pkwy Ste 301, Merritt Island, FL 32953 Phone: 321-361-5534 Fax: 321-361-5543 |