| Vanessa Lee Pasch, CRNP | |
|
208 Kevin Ln, Suite 101, Brodheadsville, PA 18322-7044 | |
| (570) 992-7620 | |
| Not Available |
| Full Name | Vanessa Lee Pasch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 208 Kevin Ln, Brodheadsville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164794426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP011820 (Pennsylvania) | Primary |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | University Of Penn - Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053447151 PECOS PAC ID: 6204730955 Enrollment ID: O20150304001436 |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Lee Pasch, CRNP Po Box 783311, Philadelphia, PA 19178-3311 Ph: () - | Vanessa Lee Pasch, CRNP 208 Kevin Ln, Suite 101, Brodheadsville, PA 18322-7044 Ph: (570) 992-7620 |
Joelle M Mafouoti, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Burrus Blvd Ste 200, Brodheadsville, PA 18322 Phone: 570-420-6300 Fax: 570-402-2920 | |
Ardeana Y Kirkland, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Burrus Blvd, Brodheadsville, PA 18322 Phone: 570-426-2662 Fax: 570-992-7777 | |
Cynthia Marie Ventre, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 Rodenbach Lane, Brodheadsville, PA 18322 Phone: 570-992-4208 Fax: 570-992-6117 | |
Caitlin Gaffney, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Route 715 Ste 102, Brodheadsville, PA 18322 Phone: 272-212-0420 |