| Angela M Vanderberg, FNP-BC, PMHNP-C | |
|
3217 W 121st Ave, Crown Point, IN 46307-8745 | |
| (219) 614-9528 | |
| Not Available |
| Full Name | Angela M Vanderberg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3217 W 121st Ave, Crown Point, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093019994 | NPI | - | NPPES |
| IN2007010 | Other | IN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71003513 (Indiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71003513 (Indiana) | Primary |
| Entity Name | Dr Erin Vicari Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770935355 PECOS PAC ID: 2769776038 Enrollment ID: O20160809002131 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela M Vanderberg, FNP-BC, PMHNP-C 3217 W 121st Ave, Crown Point, IN 46307-8745 Ph: (219) 614-9528 | Angela M Vanderberg, FNP-BC, PMHNP-C 3217 W 121st Ave, Crown Point, IN 46307-8745 Ph: (219) 614-9528 |
Ms. Yvette Monique Caviness-kelley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St # 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Nichole Elaine Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9470 Broadway, Crown Point, IN 46307 Phone: 219-661-3260 Fax: 219-662-3770 | |
Mrs. Lydia C Buyco, ADULT NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072 | |
Anita D Arthur, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Mrs. Josefina Estrada Offredo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072 | |
Jennifer Lee Virgl, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 | |
Kathleen A Nix, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 S Court St, Crown Point, IN 46307 Phone: 219-757-6272 Fax: 219-681-6954 |