| Angela Ghazazadeh Vallenari, | |
|
8905 W Lincoln Ave, Suite 501, West Allis, WI 53227-2468 | |
| (414) 978-2229 | |
| Not Available |
| Full Name | Angela Ghazazadeh Vallenari |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 8905 W Lincoln Ave, West Allis, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194141291 | NPI | - | NPPES |
| 100036671 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5707 (Wisconsin) | Primary |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Ghazazadeh Vallenari, Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Angela Ghazazadeh Vallenari, 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227-2468 Ph: (414) 978-2229 |
Shannon Basile, APNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2424 S 102nd St, West Allis, WI 53227 Phone: 414-373-7474 | |
Taranpreet Kaur, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Paul Facchiano, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6609 W Greenfield Ave, West Allis, WI 53214 Phone: 414-257-8500 | |
Virginia R Kuenzi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2424 S 90th St, West Allis, WI 53227 Phone: 414-328-8150 Fax: 414-328-8350 | |
Ashley A Mikkelsen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave Ste 505, West Allis, WI 53227 Phone: 414-329-5647 | |
Autumn D Unrein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Fl 2, West Allis, WI 53227 Phone: 414-328-8777 Fax: 414-328-8110 | |
Stephanie Schell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Fl 3, West Allis, WI 53227 Phone: 414-328-8270 Fax: 414-328-8275 |