Provider Demographics
NPI:1013148352
Name:MCQUISTION, VICTORIA DIANNE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:DIANNE
Last Name:MCQUISTION
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 FAIRFAX RD
Mailing Address - Street 2:APT. E
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6446
Mailing Address - Country:US
Mailing Address - Phone:740-387-7255
Mailing Address - Fax:
Practice Address - Street 1:196 FAIRFAX RD
Practice Address - Street 2:APT. E
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6446
Practice Address - Country:US
Practice Address - Phone:740-387-7255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN056010374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel