Provider Demographics
NPI:1558748343
Name:MARKS, VICTORIA D (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:D
Last Name:MARKS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3747 ROSWELL RD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6215
Mailing Address - Country:US
Mailing Address - Phone:470-956-1496
Mailing Address - Fax:770-973-9245
Practice Address - Street 1:3747 ROSWELL RD
Practice Address - Street 2:SUITE 216
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6215
Practice Address - Country:US
Practice Address - Phone:470-956-1496
Practice Address - Fax:770-973-9245
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN112271363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily