| Taylor Brocato, | |
|
1030 Stillspring Dr, Vacaville, CA 95687-7705 | |
| (707) 592-9843 | |
| Not Available |
| Full Name | Taylor Brocato |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1030 Stillspring Dr, Vacaville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497594428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95028261 (California) | Primary |
| Entity Name | California Wound Healing Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235333972 PECOS PAC ID: 7315033198 Enrollment ID: O20071010000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Brocato, 1030 Stillspring Dr, Vacaville, CA 95687-7705 Ph: (707) 592-9843 | Taylor Brocato, 1030 Stillspring Dr, Vacaville, CA 95687-7705 Ph: (707) 592-9843 |
Dr. Treesa Antony, DNP, FNP-BC, RN-BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Nut Tree Rd, Vacaville, CA 95687 Phone: 707-646-5500 | |
Cecille Bernad Ubbaonu, MSN, RN, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 770 Mason St, Vacaville, CA 95688 Phone: 707-437-4900 | |
Kim Anicete, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1679 E Monte Vista Ave Ste 104, Vacaville, CA 95688 Phone: 707-624-7400 | |
Sherry Lynn Ramirez, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 Celestine Cir, Vacaville, CA 95687 Phone: 707-816-5595 | |
Shauna Marioni Ii, MSN, NP, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 Vacavalley Pkwy, Vacaville, CA 95688 Phone: 707-453-5503 | |
Mr. Nicolas Richard Lazarewicz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Nut Tree Rd, Vacaville, CA 95687 Phone: 707-624-7500 | |
Jason Hebard, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-624-4000 |