Individual provider · Type 1 NPI
Kathleen Ann Victor, RN, MSN, CRNP
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1114227964
Active
Practice location
1726 South Broad Street
Philadelphia, PA 19145-2300
Other practice locations
- 151 Fries Mill Rd Ste 301, Turnersville, NJ 08012-2016 · (856) 374-1881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 26NN11172100 (NJ) |
| Gerontology Nurse Practitioner | 363LG0600X | SP005334H (PA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NN11172100 (NJ) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1114227964
Kathleen Ann Victor, RN, MSN, CRNP's National Provider Identifier is 1114227964, issued on Oct 27, 2010. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 21, 2022.