Provider Demographics
NPI:1437484797
Name:KAMPPI, VICTORIA LYNN (RN)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:LYNN
Last Name:KAMPPI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:TORI
Other - Middle Name:
Other - Last Name:KAMPPI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:330 E 79TH ST
Mailing Address - Street 2:1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0966
Mailing Address - Country:US
Mailing Address - Phone:917-992-3091
Mailing Address - Fax:212-861-5838
Practice Address - Street 1:330 E 79TH ST
Practice Address - Street 2:1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0966
Practice Address - Country:US
Practice Address - Phone:917-992-3091
Practice Address - Fax:212-861-5838
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRN343416163WM0705X, 163WN1003X, 163WS0121X, 163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY13-413-6411OtherEIN