| Edith Karina De Soto, PMHNP-BC | |
|
483 N Mulford Rd Ste 8, Rockford, IL 61107-5164 | |
| (779) 210-2964 | |
| (779) 269-0744 |
| Full Name | Edith Karina De Soto |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 483 N Mulford Rd Ste 8, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699520932 | NPI | - | NPPES |
| Entity Name | Montes Psychiatric Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629694278 PECOS PAC ID: 5991125585 Enrollment ID: O20201021000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Edith Karina De Soto, PMHNP-BC 483 N Mulford Rd Ste 8, Rockford, IL 61107-5164 Ph: () - | Edith Karina De Soto, PMHNP-BC 483 N Mulford Rd Ste 8, Rockford, IL 61107-5164 Ph: (779) 210-2964 |
Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415 | |
Mariola U Grzeszczyk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956 | |
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Valerie Kae Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3259 Montlake Dr, Rockford, IL 61114 Phone: 815-238-6833 | |
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 |