Sabrina Provvidenza Vitale-d'angelo, CRNA | |
709 W Main St, Manchester, IA 52057-1526 | |
(563) 927-7457 | |
(563) 927-7457 |
Full Name | Sabrina Provvidenza Vitale-d'angelo |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 709 W Main St, Manchester, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962088104 | NPI | - | NPPES |
5208192 | Other | IA | CSA |
D175517 | Other | IA | STATE LICENSE |
MV8194843 | Other | IA | DEA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D175517 (Iowa) | Primary |
Entity Name | Peoples Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336281245 PECOS PAC ID: 9931010790 Enrollment ID: O20031118000161 |
Entity Name | Delaware County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982667929 PECOS PAC ID: 2062316375 Enrollment ID: O20031119000881 |
Entity Name | Cedar Valley Medical Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497794242 PECOS PAC ID: 1759291487 Enrollment ID: O20031208000462 |
Entity Name | Sumner Community Club |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801818661 PECOS PAC ID: 5890607691 Enrollment ID: O20040109000930 |
Entity Name | Guttenberg Municipal Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386679793 PECOS PAC ID: 6901709476 Enrollment ID: O20040130000960 |
Entity Name | Sumner Community Club |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1780684548 PECOS PAC ID: 5890607691 Enrollment ID: O20061104000206 |
Mailing Address | Practice Location Address |
---|---|
Sabrina Provvidenza Vitale-d'angelo, CRNA Po Box 359, Manchester, IA 52057-0359 Ph: (563) 927-7457 | Sabrina Provvidenza Vitale-d'angelo, CRNA 709 W Main St, Manchester, IA 52057-1526 Ph: (563) 927-7457 |
Isaac Albert Butler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 | |
David Mark Huether, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 17893 224th St, Manchester, IA 52057 Phone: 563-927-6183 Fax: 563-927-6183 | |
James Oliver Cody, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 | |
Travis Randal Schulze, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 Fax: 563-822-1436 | |
Ms. Anne Meyer-mccright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 Fax: 563-822-1436 | |
Seth Nicolas Additon, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 | |
Mr. Mark G Odden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17893 224th St, Manchester, IA 52057 Phone: 563-927-6183 Fax: 563-927-6183 |