Individual provider · Type 1 NPI
Victoria Record, AGPCNP-BC
Adult Health Nurse Practitioner · Canandaigua, NY
NPI number
1699260612
Active
Practice location
3325 Marvin Sands Dr
Canandaigua, NY 14424
Mailing address
415 Howell St
Palmyra, NY 14522-1507
Other practice locations
- 196 North St, Geneva, NY 14456-1694 · (315) 787-4003
- 196 North St, Geneva, NY 14456-1694 · (315) 787-4003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 308423 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 308423 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1699260612
Victoria Record, AGPCNP-BC's National Provider Identifier is 1699260612, issued on Jun 22, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Canandaigua, NY. The record was last updated on Jan 10, 2023.