Provider Demographics
NPI:1558160135
Name:TUTT, VICTORIA LYNNE
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LYNNE
Last Name:TUTT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:554 W TOWN ST # A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-4434
Mailing Address - Country:US
Mailing Address - Phone:614-372-4324
Mailing Address - Fax:
Practice Address - Street 1:554 W TOWN ST # A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4434
Practice Address - Country:US
Practice Address - Phone:614-372-4324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion