Provider Demographics
NPI:1790554848
Name:PACHYTEL, VICTORIA ELLEN (APN)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:ELLEN
Last Name:PACHYTEL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:ELLEN
Other - Last Name:CLAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:331 NEWMAN SPRINGS RD STE 220
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5688
Mailing Address - Country:US
Mailing Address - Phone:732-807-0877
Mailing Address - Fax:
Practice Address - Street 1:195 ROUTE 9 STE 106
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8294
Practice Address - Country:US
Practice Address - Phone:732-536-7144
Practice Address - Fax:732-536-7520
Is Sole Proprietor?:No
Enumeration Date:2023-12-29
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14980300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily