Provider Demographics
NPI:1639618416
Name:TOMLIN, VICTORIA PEYTON (NP)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:PEYTON
Last Name:TOMLIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:VICTORIA
Other - Middle Name:PEYTON
Other - Last Name:HEVENER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:433 SWOPE LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24435-2814
Mailing Address - Country:US
Mailing Address - Phone:540-294-3034
Mailing Address - Fax:
Practice Address - Street 1:25 COMMERCE PARK DR
Practice Address - Street 2:
Practice Address - City:RAPHINE
Practice Address - State:VA
Practice Address - Zip Code:24472-2547
Practice Address - Country:US
Practice Address - Phone:540-490-2527
Practice Address - Fax:540-377-2099
Is Sole Proprietor?:No
Enumeration Date:2017-02-14
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001252320163W00000X
VA0024175016363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse