Provider Demographics
NPI:1568662153
Name:KEETON, VICTORIA FLORIANI (NP)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:FLORIANI
Last Name:KEETON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:FLORIANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:UCSF SCHOOL OF NURSING
Mailing Address - Street 2:2 KORET WAY, BOX 0606
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0001
Mailing Address - Country:US
Mailing Address - Phone:415-476-6092
Mailing Address - Fax:
Practice Address - Street 1:1647 VALENCIA ST
Practice Address - Street 2:VALENCIA HEALTH SERVICES
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-5012
Practice Address - Country:US
Practice Address - Phone:415-647-3666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381865363LP0200X
CA602145363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics