Provider Demographics
NPI:1003593302
Name:CARR, VICTORIA ASHLEY (BSN, RN)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ASHLEY
Last Name:CARR
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:A
Other - Last Name:NADEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18 OLD MAIN RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE COMPTON
Mailing Address - State:RI
Mailing Address - Zip Code:02837-1321
Mailing Address - Country:US
Mailing Address - Phone:774-294-7511
Mailing Address - Fax:
Practice Address - Street 1:33 JAMES REYNOLDS RD STE E
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-3429
Practice Address - Country:US
Practice Address - Phone:774-294-7511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2368842163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse