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NPI Code Detail

MEDICARE: AMY VANESSA FLORES

MEDICARE:   AMY VANESSA FLORES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA3397NV

General Provider Information

NPI Number : 1235027566
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY VANESSA FLORES
Provider Business Mailing Address
First Line : 9105 HOMBARD AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2610
Country : US
Telephone Number : 661-808-3073
Fax Number :
Provider Business Practice Location Address
First Line : 5440 W SAHARA AVE STE 302
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-0361
Country : US
Telephone Number : 702-633-0207
Fax Number : 702-633-5099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2025
Last Update Date : 02/11/2026

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Directions to “ AMY VANESSA FLORES ” Practice Location

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