Provider Demographics
NPI:1669719837
Name:BEAN, VICTORIA RICE (RNFA)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:RICE
Last Name:BEAN
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18329 WALLINGFORD AVE N
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-4632
Mailing Address - Country:US
Mailing Address - Phone:206-724-1926
Mailing Address - Fax:
Practice Address - Street 1:18329 WALLINGFORD AVE N
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-4632
Practice Address - Country:US
Practice Address - Phone:206-724-1926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60099319163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant