Provider Demographics
NPI:1396021291
Name:MENZIES, VICTORIA SUE (RN, PHD, PMHCNS-BC)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:SUE
Last Name:MENZIES
Suffix:
Gender:F
Credentials:RN, PHD, PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 SANTA ROSA RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5105
Mailing Address - Country:US
Mailing Address - Phone:804-282-3910
Mailing Address - Fax:804-282-3266
Practice Address - Street 1:1503 SANTA ROSA RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5105
Practice Address - Country:US
Practice Address - Phone:804-282-3910
Practice Address - Fax:804-282-3266
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0015000861163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult