Provider Demographics
NPI:1164068466
Name:DEPUTY, VICTORIA KRISTINE (MSN, CRNP)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:KRISTINE
Last Name:DEPUTY
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:KRISTINE
Other - Last Name:FIORENZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:504 N AUGUSTINE ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-2602
Mailing Address - Country:US
Mailing Address - Phone:484-639-2144
Mailing Address - Fax:
Practice Address - Street 1:51 N 39TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-2640
Practice Address - Country:US
Practice Address - Phone:215-662-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN650336163W00000X
NJ26NR19719600163W00000X
DEL1-0051465163W00000X
PASP021406363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse