| Mariel Bosserman, ARNP | |
|
100 H St Ste 212, Eureka, CA 95501-0481 | |
| (707) 390-0393 | |
| (707) 440-1524 |
| Full Name | Mariel Bosserman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 100 H St Ste 212, Eureka, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548610934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 95003971 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95003971 (California) | Primary |
| Entity Name | Open Door Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariel Bosserman, ARNP 100 H St Ste 212, Eureka, CA 95501-0481 Ph: (707) 390-0393 | Mariel Bosserman, ARNP 100 H St Ste 212, Eureka, CA 95501-0481 Ph: (707) 390-0393 |
Elizabeth Wachtel O'brien, CNM, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3200 Walford Ave, Suite B, Eureka, CA 95503 Phone: 707-445-3443 Fax: 707-445-1848 |
Angela Beth Smith, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1651 Myrtle Ave Ste C, Eureka, CA 95501 Phone: 707-599-6700 Fax: 888-475-8698 |
Rachel Hatchimonji, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2280 Harrison Ave, Eureka, CA 95501 Phone: 707-443-9371 |
Angelo John Alfano, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-441-1624 |
Ms. Suzanne Dietz, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-269-7051 Fax: 707-269-7054 |
Kathy Sattler, RN , FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-443-8335 Fax: 707-443-7327 |
Kabou Xiong, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-476-2929 |