Provider Demographics
NPI:1134604754
Name:MELDRUM, VICTORIA EILEEN (NP)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:EILEEN
Last Name:MELDRUM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26530 E ARBOR DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-6123
Mailing Address - Country:US
Mailing Address - Phone:310-753-4173
Mailing Address - Fax:
Practice Address - Street 1:26530 E ARBOR DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-6123
Practice Address - Country:US
Practice Address - Phone:310-753-4173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-28
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996514-NP363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty