Patricia J Nordman, NP | |
1200 W State St, Rockford, IL 61102-2112 | |
(815) 490-1600 | |
(815) 490-1881 |
Full Name | Patricia J Nordman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1200 W State St, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225028350 | NPI | - | NPPES |
277000190 | Other | IL | ILLINOIS FULL AUTHORITY APN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 277000190 (Illinois) | Primary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Entity Name | Crusaders Central Clinic Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902972557 PECOS PAC ID: 5799682993 Enrollment ID: O20031216000642 |
Mailing Address | Practice Location Address |
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Patricia J Nordman, NP 1200 W State St, Rockford, IL 61102-2112 Ph: (815) 490-1600 | Patricia J Nordman, NP 1200 W State St, Rockford, IL 61102-2112 Ph: (815) 490-1600 |
Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415 | |
Mariola U Grzeszczyk, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956 | |
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Valerie Kae Wright, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3259 Montlake Dr, Rockford, IL 61114 Phone: 815-238-6833 | |
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 |