person
Michael Vicioso, PNP
Pediatric Nurse Practitioner in Long Beach, California
NPI 1932449642

Michael Vicioso is a Pediatric Nurse Practitioner based in Long Beach, CA and is specialized in Pediatrics. Michael Vicioso practices in Long Beach, CA and has the professional credentials of PNP. The NPI Number for Michael Vicioso is 1932449642 and holds a License No. 22745 (California).

The current practice location address for Michael Vicioso is 3835 E 7Th St, Long Beach, CA and can be reached out via phone at 562-473-4441 and via fax at 562-473-4447. You can also correspond with Michael Vicioso through the mailing address at 3835 E 7TH ST, LONG BEACH, CA - 90804-5303 (mailing address contact number: 562-473-4441).

Location: 3835 E 7Th St, Long Beach, CA, 90804-5303
person
Provider Profile Details
NPI Number
1932449642
Provider Name
Michael Vicioso
Credential
PNP
Provider Entity Type
Individual
Gender
Male
Address
3835 E 7Th St, Long Beach, CA, 90804-5303
Phone Number
562-473-4441
Fax Number
562-473-4447
Provider Enumeration Date
02/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3835 E 7Th St
City
State
Zip
90804-5303
Phone Number
562-473-4441
Fax Number
562-473-4447
person
Provider Business Mailing Address Details
Address
3835 E 7Th St
City
State
Zip
90804-5303
Phone Number
562-473-4441
Fax Number
562-473-4447
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
22745 (California)
Definition
Definition to come...
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