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Mrs. Victoria Pham Randazzo, PHD,AG-NP,RN
Gerontology Nurse Practitioner in Tustin, California
NPI 1245889310

Victoria Pham Randazzo is a Gerontology Nurse Practitioner based in Orange, CA and is specialized in Gerontology. Victoria Pham Randazzo practices in Tustin, CA and has the professional credentials of PHD,AG-NP,RN. The NPI Number for Victoria Pham Randazzo is 1245889310 and holds a License No. 95012573 (California).

The current practice location address for Victoria Pham Randazzo is 13522 Newport Ave Ste 102, Tustin, CA and can be reached out via phone at 714-573-8200 and via fax at 714-573-9401.

Location: 13522 Newport Ave Ste 102, Tustin, CA, 92869-6515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245889310
Provider Name
Victoria Pham Randazzo
Credential
PHD,AG-NP,RN
Provider Entity Type
Individual
Gender
Female
Address
13522 Newport Ave Ste 102, Tustin, CA, 92869-6515
Phone Number
714-573-8200
Fax Number
714-573-9401
Provider Enumeration Date
09/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95012573 01 CA NURSE PRACTITIONER FURNISHING LICENSE
institution
Provider Business Practice Location Address Details
Address
13522 Newport Ave Ste 102
City
Tustin
State
California
Zip
92780-3707
Phone Number
714-573-8200
Fax Number
714-573-9401
person
Provider Business Mailing Address Details
Address
13522 Newport Ave Ste 102
City
Tustin
State
California
Zip
92780-3707
Phone Number
714-573-8200
Fax Number
714-573-9401
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
95012573 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
95012573 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
95012573 (California)
Definition
Definition to come...
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