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Maria Luisa Jabido

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Road East, Minnetoka, MN 55343

PECOS Enrollment

Based on the most recent information from CMS, provider Maria Luisa Jabido is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1699208736
Provider Type
Individual
Full Name
Jabido, Maria Luisa
Gender
Female

Sole Proprietor
No
Enumeration Date
4/5/2017
Last Updated
2/4/2022

Contact Information

Practice Location

9900 Bren Road East, Minnetoka, MN 55343

(206) 561-5235

Unlisted Fax

Mailing Location

9900 Bren Rd E, Minnetonka, MN 55343-9664

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP60853275 Washington
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 209.015836 Illinois

Maria Luisa Jabido

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Shirley, Grace A

Sumner, Savannah

United Healthcare Services, Inc

Flaherty, Skye

Schultz, Jane M

Thayer, Lisa

Riley, Karen Baxter

Rozier, Jamila

Barker, Kathryn

York, Dara Newsome