Provider Demographics
NPI:1336243807
Name:KNOWLTON, VICTORIA B (DNP)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:B
Last Name:KNOWLTON
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 CURTIS ST
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01966-1242
Mailing Address - Country:US
Mailing Address - Phone:978-546-7986
Mailing Address - Fax:
Practice Address - Street 1:42 CURTIS ST
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:MA
Practice Address - Zip Code:01966-1242
Practice Address - Country:US
Practice Address - Phone:978-943-2068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA131213363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health