Provider Demographics
NPI:1326284795
Name:RESPESS, VICTORIA MCINTOSH (ANP)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MCINTOSH
Last Name:RESPESS
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:JANE
Other - Last Name:MCINTOSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2700 WAYNE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-9494
Mailing Address - Country:US
Mailing Address - Phone:919-731-6407
Mailing Address - Fax:919-731-6860
Practice Address - Street 1:2700 WAYNE MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9494
Practice Address - Country:US
Practice Address - Phone:919-731-6407
Practice Address - Fax:919-731-6860
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC195117363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health