Provider Demographics
NPI:1205376258
Name:RASCOL, VICTORIA (FNP)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:RASCOL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:ANDRESI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10021 RUSSELL AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-3127
Mailing Address - Country:US
Mailing Address - Phone:714-588-2115
Mailing Address - Fax:
Practice Address - Street 1:10021 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-3127
Practice Address - Country:US
Practice Address - Phone:714-588-2115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-23
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA837146163W00000X
CA95015253363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse