Provider Demographics
NPI:1467115725
Name:TOBIN, VICTORIA ANN (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ANN
Last Name:TOBIN
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 W MARTIN LUTHER KING BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-2571
Mailing Address - Country:US
Mailing Address - Phone:718-854-8370
Mailing Address - Fax:973-310-1532
Practice Address - Street 1:5372 FALLOWATER LN STE 200
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0909
Practice Address - Country:US
Practice Address - Phone:216-672-3100
Practice Address - Fax:216-362-0677
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30180363LP2300X
VA0024187196363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care