NICOLE VICIOSO

ORANGE, CA
NPI1831354778
Former NameNICOLE PANDO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA  17971)
Additional Taxonomies364SP0200X Clinical Nurse Specialist, Pediatrics
(Licence: CA  1731)
Enumeration Date2008-07-21
Last Update Date2008-07-21
Business Address
-- NICOLE VICIOSO RN, PNP, CNS
455 S MAIN ST
ORANGE, CA 92868-3835
Phone number: 714-532-8421
Mailing Address
-- NICOLE VICIOSO RN, PNP, CNS
111 38TH ST UNIT B
NEWPORT BEACH, CA 92663-3060
Phone number: 949-646-1033