| Ingrid Telasco-maurisseau, ARNP | |
|
13121 Sw 45th Dr, Miramar, FL 33027-3159 | |
| (754) 234-8983 | |
| Not Available |
| Full Name | Ingrid Telasco-maurisseau |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 13121 Sw 45th Dr, Miramar, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508223256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9211750 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9211750 (Florida) | Primary |
| Entity Name | Molina Care Connections, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180515001421 |
| Mailing Address | Practice Location Address |
|---|---|
| Ingrid Telasco-maurisseau, ARNP 200 Oceangate, Ste 100, Long Beach, CA 90802-4317 Ph: (888) 562-5442 | Ingrid Telasco-maurisseau, ARNP 13121 Sw 45th Dr, Miramar, FL 33027-3159 Ph: (754) 234-8983 |
Jennifer Richards, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3720 Executive Way Ste 106, Miramar, FL 33025 Phone: 877-868-4827 | |
Yarixel Gache Ortiz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12204 Miramar Pkwy Ste 13, Miramar, FL 33025 Phone: 786-372-3654 | |
Claudline Pierre Louis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6300 Sw 35th Ct, Miramar, FL 33023 Phone: 786-200-0227 | |
Marie S Laguerre, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13793 Sw 26th St, Miramar, FL 33027 Phone: 305-987-4198 Fax: 954-433-4622 | |
Mrs. Marie Monique Charles, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Knolls Rd, Miramar, FL 33025 Phone: 305-491-3396 | |
Ashley E Huergo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14601 Sw 37th St, Miramar, FL 33027 Phone: 786-942-8781 | |
Katiana Legagneur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2341 Pine Tree Dr, Miramar, FL 33023 Phone: 239-324-6854 |