MEDICARE: VICTORIA GUERRA PHELPS 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	AP140608	TX
2	363LF0000X	Family Nurse Practitioner	F347283	NY

General Provider Information

NPI Number	:	1528623188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA GUERRA PHELPS APRN, FNP-C

Provider Business Mailing Address
First Line	:	614 BISHOP HEIGHTS LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-0167
Country	:	US
Telephone Number	:	917-868-1555
Fax Number	:

Provider Business Practice Location Address
First Line	:	1481 MCDONALD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4667
Country	:	US
Telephone Number	:	929-491-7333
Fax Number	:

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

Provider Enumeration Date	:	05/08/2019
Last Update Date	:	10/06/2024

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