Individual provider · Type 1 NPI
Ma Vanessa S. Mabazza, APRN, NP-C, AGPCNP-BC
Nurse Practitioner · Sycamore, IL
Practice location
2550 Hauser Ross Drive, Suite 350
Sycamore, IL 60178
Fax (815) 756-6103
Mailing address
2550 Hauser Ross Dr Ste 350
Sycamore, IL 60178-3181
Other practice locations
- 500 N Mclean Blvd Ste 100, Elgin, IL 60123-3275 · (224) 535-9922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209017671 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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- Jennifer Tarvestad, FNP-BCNurse Practitioner Sycamore, IL NPI 1114401833
- Nicole Rodiek, APRN, CNPNurse Practitioner Sycamore, IL NPI 1144913500
- Jamie Gibson, APN, NP-CNurse Practitioner Sycamore, IL NPI 1174067227
- Arlyn Dingel Smith, APRN, CNPNurse Practitioner Sycamore, IL NPI 1265042287
- Andrew James Hornung, APN-CNPNurse Practitioner Sycamore, IL NPI 1265897755
- Rachel Michelle Johnson, APRN, CNPNurse Practitioner Sycamore, IL NPI 1285406512
About NPI 1780175380
Ma Vanessa S. Mabazza, APRN, NP-C, AGPCNP-BC's National Provider Identifier is 1780175380, issued on May 21, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sycamore, IL. The record was last updated on Dec 15, 2021.