Provider Demographics
NPI:1700378056
Name:TOWERY, VICTORIA A (A-GNP-C)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:A
Last Name:TOWERY
Suffix:
Gender:F
Credentials:A-GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 CAPITAL AVE NE
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-4843
Mailing Address - Country:US
Mailing Address - Phone:269-841-3610
Mailing Address - Fax:
Practice Address - Street 1:165 WASHINGTON AVE N
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49037-2929
Practice Address - Country:US
Practice Address - Phone:269-245-8340
Practice Address - Fax:269-245-8373
Is Sole Proprietor?:No
Enumeration Date:2018-06-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704294118363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health