MEDICARE: VICKI REBECCA TORNERO RN

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	163W00000X	Registered Nurse	1140626	TX
2	163W00000X	Registered Nurse	041553700	IL

General Provider Information

NPI Number	:	1013865443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKI REBECCA TORNERO RN

Provider Business Mailing Address
First Line	:	15270 VOSS RD APT 532
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4776
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15270 VOSS RD APT 532
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4776
Country	:	US
Telephone Number	:	818-415-2499
Fax Number	:

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

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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