Individual provider · Type 1 NPI

Victoria Speelman

Student in an Organized Health Care Education/Training Program · Raleigh, NC

NPI number 1063202075 Active

Practice location

4420 Lake Boone Trl
Raleigh, NC 27607-7505

Mailing address

5405 Fair Valley Ct
Raleigh, NC 27617-4790

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5023210 (NC)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063202075

Victoria Speelman's National Provider Identifier is 1063202075, issued on May 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Raleigh, NC. The record was last updated on Jan 22, 2026.