MEDICARE: ANGELI ORADA VICTORINO MSN, APRN,FNP-C

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
1	363LF0000X	Family Nurse Practitioner	818089	NV

General Provider Information

NPI Number	:	1851195192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELI ORADA VICTORINO MSN, APRN,FNP-C

Provider Business Mailing Address
First Line	:	193 RONDEAU AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89011-5444
Country	:	US
Telephone Number	:	702-372-7624
Fax Number	:

Provider Business Practice Location Address
First Line	:	7345 S DURANGO DR STE 111
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3608
Country	:	US
Telephone Number	:	702-463-1400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2025
Last Update Date	:	06/30/2025

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