Individual
MA VANESSA S MABAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,NP-C,AGPCNP-BC
Contact information
Practice address
2550 HAUSER ROSS DRIVE, SUITE 350, SYCAMORE, IL 60178
(815) 758-7700
(815) 756-6103
Mailing address
2550 HAUSER ROSS DR STE 350, SYCAMORE, IL 60178-3181
(815) 758-7700
(815) 756-6103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017671
IL
Other
Enumeration date
05/21/2018
Last updated
12/15/2021
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