Mrs Terri Vaccarezza, NP | |
2415 W Vine St Ste 100, Lodi, CA 95242-3731 | |
(209) 333-3135 | |
Not Available |
Full Name | Mrs Terri Vaccarezza |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 2415 W Vine St Ste 100, Lodi, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952414013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | RN271511 (California) | Primary |
Entity Name | Lodi Memorial Hospital Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861649352 PECOS PAC ID: 7618880717 Enrollment ID: O20050517000577 |
Mailing Address | Practice Location Address |
---|---|
Mrs Terri Vaccarezza, NP 2415 W Vine St Ste 100, Lodi, CA 95242-3731 Ph: (209) 333-3121 | Mrs Terri Vaccarezza, NP 2415 W Vine St Ste 100, Lodi, CA 95242-3731 Ph: (209) 333-3135 |
Donna Marlane Bennett, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 845 S Fairmont Ave, #8, Lodi, CA 95240 Phone: 209-339-7633 | |
Mrs. Kristina Fortes, FNP, MSN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-3411 | |
Ms. Isabel S. Romena, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 832 S Fairmont Ave, Lodi, CA 95240 Phone: 209-365-9331 | |
Shizu Jennifer Kawai, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 450, Lodi, CA 95242 Phone: 209-370-1700 Fax: 209-370-1737 | |
Mrs. Rosemary Ann Brixie, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 W Turner Rd, Suite 450, Lodi, CA 95242 Phone: 209-370-1700 | |
Tasnim Masood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 S Fairmont Ave, Lodi, CA 95240 Phone: 209-333-2500 | |
Ms. Rena Yvonne Kiraly, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 S Fairmont Ave Ste A, Lodi, CA 95240 Phone: 209-333-2500 Fax: 209-333-3377 |