Veronica Janell Bolanos, FNP | |
1500 Duarte Rd, Duarte, CA 91010-3012 | |
(800) 826-4673 | |
Not Available |
Full Name | Veronica Janell Bolanos |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1500 Duarte Rd, Duarte, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396391454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 95010283 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Veronica Janell Bolanos, FNP Po Box 512185, Los Angeles, CA 90051-0185 Ph: () - | Veronica Janell Bolanos, FNP 1500 Duarte Rd, Duarte, CA 91010-3012 Ph: (800) 826-4673 |
Miss Janice Mae Villegas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Park Rose Ave, Duarte, CA 91010 Phone: 626-475-4663 | |
Mrs. Erica H Chin, RN, NP, MS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 East Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 Fax: 626-471-7155 | |
Maria Elena Dela Rosa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
Mr. Shawn Robert Hurley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 800-826-4673 | |
Mrs. Denise Lee Falardeau, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Machris 2101, Duarte, CA 91010 Phone: 626-471-9200 Fax: 626-218-0188 | |
Tim Nguyen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
Miss Gabriela Claudia Medrano, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 |