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NPI Code Detail

MEDICARE: BIANCA VLAD FNP-C

MEDICARE:   BIANCA  VLAD  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
1363L00000XNurse Practitioner95032822CA
2363LF0000XFamily Nurse PractitionerAPRN11033100FL

General Provider Information

NPI Number : 1063256204
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIANCA VLAD FNP-C
Provider Business Mailing Address
First Line : 5397 PORT ALICE WAY
Second Line :
City : SALIDA
State : CA
Zip : 95368-9637
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3620B DALE RD # B
Second Line :
City : MODESTO
State : CA
Zip : 95356-0500
Country : US
Telephone Number : 312-635-0973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2024
Last Update Date : 04/21/2026

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Directions to “ BIANCA VLAD FNP-C” Practice Location

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