MEDICARE: VICTORIA M HUETHER APRN

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	897850	NV

General Provider Information

NPI Number	:	1154618429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA M HUETHER APRN

Provider Business Mailing Address
First Line	:	6758 WINDINGWOOD ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4261
Country	:	US
Telephone Number	:	585-474-4773
Fax Number	:

Provider Business Practice Location Address
First Line	:	6758 WINDINGWOOD ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4261
Country	:	US
Telephone Number	:	585-474-4779
Fax Number	:

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

Provider Enumeration Date	:	07/07/2011
Last Update Date	:	01/24/2026

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