Ann C Larocca, | |
15230 Lakeshore Dr, Clearlake, CA 95422-8107 | |
(707) 995-4500 | |
Not Available |
Full Name | Ann C Larocca |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 15230 Lakeshore Dr, Clearlake, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306149240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 296025 (California) | Primary |
Entity Name | Adventist Health Physicians Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
Entity Name | Sonoma Valley Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770669715 PECOS PAC ID: 6800708686 Enrollment ID: O20091116000139 |
Mailing Address | Practice Location Address |
---|---|
Ann C Larocca, 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500 | Ann C Larocca, 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500 |
Ms. Stephenie Hargrove, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486 | |
Martina Sara Cordova, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486 | |
Ms. Katherine Robin Willems, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 | |
Ciaran George Carroll, FNP, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-2400 | |
Mr. Rommel B Gayagoy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 | |
Prof. Sharon K Larock, CNN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-5741 |