Mrs Vanessa Irene Bizimana, NP | |
3217 W Bavaria St, Eagle, ID 83616-5171 | |
(208) 302-6200 | |
(208) 302-6245 |
Full Name | Mrs Vanessa Irene Bizimana |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3217 W Bavaria St, Eagle, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801008305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP1013A (Idaho) | Primary |
363LP0200X | Nurse Practitioner - Pediatrics | AP30007712 (Washington) | Secondary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
---|---|
Mrs Vanessa Irene Bizimana, NP Po Box 190930, Boise, ID 83719-0930 Ph: (208) 367-5170 | Mrs Vanessa Irene Bizimana, NP 3217 W Bavaria St, Eagle, ID 83616-5171 Ph: (208) 302-6200 |
Evita Kvista, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 S Linder Rd Apt B301, Eagle, ID 83616 Phone: 208-412-9622 | |
Ms. Beth Elaine Landis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 E Rivers End Ct, Eagle, ID 83616 Phone: 208-939-6030 | |
Bethany Joy Mello, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 951 E Plaza Dr Ste 170, Eagle, ID 83616 Phone: 208-939-3505 | |
Christopher Alan Anthony Nicholas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St, Eagle, ID 83616 Phone: 208-473-3100 | |
Jessica Watson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 S Linder Rd Apt O107, Eagle, ID 83616 Phone: 208-519-8520 | |
Claudia Parcells, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 951 E Plaza Dr, Suite 170, Eagle, ID 83616 Phone: 208-939-3505 Fax: 208-939-3507 | |
Mrs. Malia Seneca Ann Mcconnell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1375 N Watson Ave, Eagle, ID 83616 Phone: 208-401-6073 |