Nadezhda Protasovitskaya, NP | |
4640 Admiralty Way Ste 500, Marina Del Rey, CA 90292-6636 | |
(888) 880-3451 | |
Not Available |
Full Name | Nadezhda Protasovitskaya |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 4640 Admiralty Way Ste 500, Marina Del Rey, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316681802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95019530 (California) | Primary |
Entity Name | Global Wound Care Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871 |
Entity Name | American Wound Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20230927002772 |
Mailing Address | Practice Location Address |
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Nadezhda Protasovitskaya, NP 3958 Allegro Ct, Antelope, CA 95843-4865 Ph: () - | Nadezhda Protasovitskaya, NP 4640 Admiralty Way Ste 500, Marina Del Rey, CA 90292-6636 Ph: (888) 880-3451 |
Holly Nicole Morgan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4640 Admiralty Way, Marina Del Rey, CA 90292 Phone: 888-880-3451 | |
Jessica Bessette-castro, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13171 Mindanao Way, Marina Del Rey, CA 90292 Phone: 419-705-8178 | |
Mrs. Larisa Zabokritskaya, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13209 Fiji Way Unit J, Marina Del Rey, CA 90292 Phone: 310-827-6750 | |
Elisse Vassallo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4676 Admiralty Way Ste 301, Marina Del Rey, CA 90292 Phone: 310-673-3945 | |
Sheila Hernandez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4640 Admiralty Way, Marina Del Rey, CA 90292 Phone: 619-830-4278 | |
Lynn Marie Stephens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13171 Mindanao Way, Marina Del Rey, CA 90292 Phone: 310-821-8908 | |
Dr. Izunna Vincent Ewudo, DNP, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13400 Washington Blvd Ste 105, Marina Del Rey, CA 90292 Phone: 310-200-8957 |