Provider Demographics
NPI:1881034510
Name:GUTHRIE, VICTORIA (CRNA)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:GUTHRIE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17207 KUYKENDAHL RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-8423
Mailing Address - Country:US
Mailing Address - Phone:832-698-5331
Mailing Address - Fax:832-698-5171
Practice Address - Street 1:17207 KUYKENDAHL RD
Practice Address - Street 2:SUITE 220
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-8423
Practice Address - Country:US
Practice Address - Phone:832-698-5331
Practice Address - Fax:832-698-5171
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX727421367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered