Provider Demographics
NPI:1215207543
Name:TITUS, VICTORIA (NP-C)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:TITUS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:ERHABOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8900 COLUMBIA 100 PARKWAY
Mailing Address - Street 2:SUITE G
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045
Mailing Address - Country:US
Mailing Address - Phone:410-740-9001
Mailing Address - Fax:
Practice Address - Street 1:15202 EMILY CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1242
Practice Address - Country:US
Practice Address - Phone:240-438-7923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR184425363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily