KATHLEEN ANN VICTOR RN MSN CRNP NPI 1114227964

NPI Information

NPI: 1114227964
Provider Name: KATHLEEN ANN VICTOR, RN, MSN, CRNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1726 SOUTH BROAD STREET
PHILADELPHIA, PA
ZIP 19145
Phone: (215) 463-5009
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Kathleen Ann Victor, RN, MSN, CRNP is a gerontology nurse practitioner in Philadelphia, PA. Kathleen Ann Victor, RN, MSN, CRNP NPI is 1114227964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1726 SOUTH BROAD STREET
PHILADELPHIA, PA
ZIP 19145-300
Phone: (215) 463-5009

The NPI 1114227964 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2010 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		26NN11172100	NEW JERSEY	No
2	363LG0600X	Nurse Practitioner	Gerontology	SP005334H	PENNSYLVANIA	No
3	363LG0600X	Nurse Practitioner	Gerontology	26NN11172100	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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