MEDICARE: ANGELICA FLORES BSN, 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	949010	NY

General Provider Information

NPI Number	:	1609717560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA FLORES BSN, RN

Provider Business Mailing Address
First Line	:	4036 BIG HORN PATH
Second Line	:
City	:	BALLSTON SPA
State	:	NY
Zip	:	12020-2606
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 HAMPSTEAD PL N
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-5668
Country	:	US
Telephone Number	:	518-583-7400
Fax Number	:

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

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/03/2026

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