| Marisa Siddell Fetherolf, APRN | |
|
901 Venetia Bay Blvd Ste 200, Venice, FL 34285-8046 | |
| (941) 837-2922 | |
| Not Available |
| Full Name | Marisa Siddell Fetherolf |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 901 Venetia Bay Blvd Ste 200, Venice, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376387514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11033549 (Florida) | Primary |
| Entity Name | Millennium Cardiovascular Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013633072 PECOS PAC ID: 2466823489 Enrollment ID: O20230130000833 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Siddell Fetherolf, APRN 1873 Rita St, Sarasota, FL 34231-7725 Ph: (574) 214-9866 | Marisa Siddell Fetherolf, APRN 901 Venetia Bay Blvd Ste 200, Venice, FL 34285-8046 Ph: (941) 837-2922 |
Felicia Carnevale, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 517 Riviera St Ste D, Venice, FL 34285 Phone: 941-244-9524 Fax: 941-244-9526 | |
Destinee Renee Ogea, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8431 Pointe Loop Dr Fl 1, Venice, FL 34293 Phone: 941-207-5350 Fax: 941-207-5352 | |
Kristy L Petersen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 The Rialto, Venice, FL 34285 Phone: 941-486-6927 Fax: 941-486-6931 | |
Judy Humphreys, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1287 Us Highway 41byp S, Venice, FL 34237 Phone: 941-244-5706 Fax: 941-800-4342 | |
Ms. Kathryn S Collins, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 Jacaranda Blvd, Venice, FL 34292 Phone: 844-366-9362 | |
Agata Wawro, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 517 Riviera St Ste D, Venice, FL 34285 Phone: 941-244-9524 | |
Cynthia Beth Gamble, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Nokomis Ave S Ste 207, Venice, FL 34285 Phone: 941-486-6790 Fax: 941-486-6795 |