Provider Demographics
NPI:1073797148
Name:ANDERSON, VICTORIA LYNN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:LYNN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CENTER DR. MSC 1888, BLDG 10 ROOM 11N232
Mailing Address - Street 2:NATIONAL INSTITUTES OF HEALTH
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1888
Mailing Address - Country:US
Mailing Address - Phone:301-594-5932
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DR. MSC 1888, BLDG 10 ROOM 11N232
Practice Address - Street 2:NATIONAL INSTITUTES OF HEALTH
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1888
Practice Address - Country:US
Practice Address - Phone:301-594-5932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC000267363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily