Provider Demographics
NPI:1477964542
Name:GUYTON, VICTORIA EVETTE (NP)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:EVETTE
Last Name:GUYTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:VICTORIA
Other - Middle Name:EVETTE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:4426 WILLIAMS DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-1341
Mailing Address - Country:US
Mailing Address - Phone:512-869-2506
Mailing Address - Fax:512-869-2665
Practice Address - Street 1:4426 WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-1341
Practice Address - Country:US
Practice Address - Phone:512-869-2506
Practice Address - Fax:512-869-2665
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP124666363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily