Provider Demographics
NPI:1558797415
Name:LAWRENCE-BURTON, VICTORIA (APN)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:LAWRENCE-BURTON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3443 DICKERSON PIKE STE 590
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2520
Mailing Address - Country:US
Mailing Address - Phone:615-615-9888
Mailing Address - Fax:615-632-2399
Practice Address - Street 1:3443 DICKERSON PIKE STE 590
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2520
Practice Address - Country:US
Practice Address - Phone:615-988-8100
Practice Address - Fax:615-632-2399
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17967363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily