Healthcare Provider Details

I. General information

NPI: 1386347508
Provider Name (Legal Business Name): RENEE TERESA OROC FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2563 S VAL VISTA DR
GILBERT AZ
85295-1804
US

IV. Provider business mailing address

2563 S VAL VISTA DR
GILBERT AZ
85295-1804
US

V. Phone/Fax

Practice location:
  • Phone: 480-573-0130
  • Fax:
Mailing address:
  • Phone: 480-573-0130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number286086
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number286086
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: