Mabazza, Ma Vanessa S

Mabazza, Ma Vanessa S is an individual health care provider with primary practice located at 2550 Hauser Ross Drive Suite 350, Sycamore IL 60178. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mabazza, Ma Vanessa S can be contacted via phone (815) 758-7700.

Contact Information

Primary practice address
2550 Hauser Ross Drive Suite 350 Sycamore IL 60178
Phone: (815) 758-7700
Fax: (815) 756-6103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209017671 Illinois

Profile Details

NPI number 1780175380
LBN Legal business name Mabazza, Ma Vanessa S
Credentials APRN,NP-C,AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2018
Last updated Dec 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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