Provider Demographics
NPI:1821493362
Name:COX, VICTORIA VIOLQ
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:VIOLQ
Last Name:COX
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 1:616 1/2 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:NELSONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45764-1338
Mailing Address - Country:US
Mailing Address - Phone:740-517-4476
Mailing Address - Fax:
Practice Address - Street 1:616 1/2 JACKSON ST
Practice Address - Street 2:
Practice Address - City:NELSONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45764-1338
Practice Address - Country:US
Practice Address - Phone:740-517-4476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401565300813374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide