Provider Demographics
NPI:1689256323
Name:HUNGERFORD, VICTORIA T
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:T
Last Name:HUNGERFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 N COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1912
Mailing Address - Country:US
Mailing Address - Phone:520-320-1953
Mailing Address - Fax:520-795-3948
Practice Address - Street 1:2930 N COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-1912
Practice Address - Country:US
Practice Address - Phone:520-320-1953
Practice Address - Fax:520-795-3948
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner