Provider Demographics
NPI:1063034049
Name:FLORES, JANICE (FNP-C)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4496 MISSION MEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-7169
Mailing Address - Country:US
Mailing Address - Phone:702-556-5659
Mailing Address - Fax:
Practice Address - Street 1:9788 GILESPIE ST STE 413
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7607
Practice Address - Country:US
Practice Address - Phone:702-476-9068
Practice Address - Fax:702-330-0805
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV830450363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily