Provider Demographics
NPI:1295521045
Name:KLINGER, VICTORIA LYNN (FNP-C)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LYNN
Last Name:KLINGER
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:COALTON
Mailing Address - State:WV
Mailing Address - Zip Code:26257
Mailing Address - Country:US
Mailing Address - Phone:828-719-6171
Mailing Address - Fax:
Practice Address - Street 1:4498 POTOMAC HIGHLANDS TRAIL
Practice Address - Street 2:
Practice Address - City:GREEN BANK
Practice Address - State:WV
Practice Address - Zip Code:24944
Practice Address - Country:US
Practice Address - Phone:304-456-5115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV122278363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily