Olivia Cannizaro, | |
80 Gardenia Dr, Covington, LA 70433-9194 | |
(985) 898-4001 | |
Not Available |
Full Name | Olivia Cannizaro |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 80 Gardenia Dr, Covington, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487388674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 219304 (Louisiana) | Primary |
Entity Name | St Tammany Parish Hospital Service District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083793582 PECOS PAC ID: 0749273761 Enrollment ID: O20150915001107 |
Mailing Address | Practice Location Address |
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Olivia Cannizaro, 80 Gardenia Dr, Covington, LA 70433-9194 Ph: () - | Olivia Cannizaro, 80 Gardenia Dr, Covington, LA 70433-9194 Ph: (985) 898-4001 |
Sunny R Mcdaniel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Innwood Dr, Covington, LA 70433 Phone: 985-892-3225 Fax: 985-892-7677 | |
Mr. Luis Benigno Martinez Iii, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 N Highway 190, Covington, LA 70433 Phone: 985-809-1515 | |
Jeffrey J Stein, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Dionne M Stein, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N. Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Stacy Sharp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Starbrush Cir, Covington, LA 70433 Phone: 985-871-6020 | |
Colleen Leo Frady, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-8585 | |
Mrs. Josephine Elizabeth Sims, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Highland Park Plz, Suite 205, Covington, LA 70433 Phone: 985-871-8681 |