Provider Demographics
NPI:1255091203
Name:HAMPTON, VICTORIA MICHELLE (ARNP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MICHELLE
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 W NACHES AVE
Mailing Address - Street 2:
Mailing Address - City:SELAH
Mailing Address - State:WA
Mailing Address - Zip Code:98942-9336
Mailing Address - Country:US
Mailing Address - Phone:509-480-4999
Mailing Address - Fax:
Practice Address - Street 1:2303 REITH WAY
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-9521
Practice Address - Country:US
Practice Address - Phone:509-837-3933
Practice Address - Fax:509-837-3885
Is Sole Proprietor?:No
Enumeration Date:2021-12-17
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60202067163W00000X
WAAP61526262363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse