Individual provider · Type 1 NPI

Nicole Vicioso, RN, PNP, CNS

Pediatric Nurse Practitioner · Orange, CA

NPI number 1831354778 Active

Practice location

455 S Main St
Orange, CA 92868-3835

Call (714) 532-8421 Map

Mailing address

111 38th St, Unit B
Newport Beach, CA 92663-3060

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X17971 (CA)
Pediatric Clinical Nurse Specialist 364SP0200X1731 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1831354778

Nicole Vicioso, RN, PNP, CNS's National Provider Identifier is 1831354778, issued on Jul 21, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Orange, CA. The record was last updated on Jul 21, 2008.