Kristie Nicole Carazo, FNP-C | |
283 Spreckels Ave, Manteca, CA 95336-6005 | |
(209) 953-3451 | |
(209) 239-4246 |
Full Name | Kristie Nicole Carazo |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 283 Spreckels Ave, Manteca, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588293237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 212197 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95027152 (California) | Primary |
Entity Name | Wellspace Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124112933 PECOS PAC ID: 8426157975 Enrollment ID: O20070623000117 |
Mailing Address | Practice Location Address |
---|---|
Kristie Nicole Carazo, FNP-C 3801 North Blvd, Baton Rouge, LA 70806-3825 Ph: (225) 655-6422 | Kristie Nicole Carazo, FNP-C 283 Spreckels Ave, Manteca, CA 95336-6005 Ph: (209) 953-3451 |
Renee Jeanne Lee, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E North St, Suite 102, Manteca, CA 95336 Phone: 209-824-2202 Fax: 209-824-2205 | |
Dennis Neal Mendoza Dimen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 206 Pierre Dr, Manteca, CA 95337 Phone: 510-754-0965 | |
Kuljeet Kaur Kaberwal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 965 E Yosemite Ave Ste 2, Manteca, CA 95336 Phone: 209-239-2528 | |
Naveet Johal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 N Main St Ste 1a, Manteca, CA 95336 Phone: 510-552-9771 | |
Irene W Gaita, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1341 Historical Plaza Way, Manteca, CA 95336 Phone: 209-665-4151 Fax: 209-665-4452 | |
Geeta Shankar, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Cottage Ave,, Ste. 103, Manteca, CA 95336 Phone: 209-624-5800 Fax: 209-624-5801 | |
Mary Scott Bugg, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 965 E Yosemite Ave Ste 2, Manteca, CA 95336 Phone: 209-239-2528 |