Provider Demographics
NPI:1205515244
Name:ONG-MURRELL, VICTORIA (APRN)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:ONG-MURRELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:ONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9025 COLDWATER RD # 100
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-2071
Mailing Address - Country:US
Mailing Address - Phone:260-459-9225
Mailing Address - Fax:260-800-1512
Practice Address - Street 1:3510 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-3925
Practice Address - Country:US
Practice Address - Phone:604-599-2252
Practice Address - Fax:608-001-5122
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71014102A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health