Individual
DENNISE ANNE VICENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1725 S RAINBOW BLVD STE 17, LAS VEGAS, NV 89146-2970
(702) 473-9600
Mailing address
2120 HOYT AVE, LAS VEGAS, NV 89104-3939
(702) 358-9263
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11038102
FL
363LF0000X
Family Nurse Practitioner
833543
NV
Other
Enumeration date
02/14/2025
Last updated
12/11/2025
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