Provider Demographics
NPI:1881326775
Name:SPURR, VICTORIA ERIN (FNP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ERIN
Last Name:SPURR
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:ERIN
Other - Last Name:DUBOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 GRAND CENTRAL MALL STE 4
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:WV
Mailing Address - Zip Code:26105-4199
Mailing Address - Country:US
Mailing Address - Phone:304-485-3300
Mailing Address - Fax:304-865-5595
Practice Address - Street 1:800 GRAND CENTRAL MALL STE 4
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:WV
Practice Address - Zip Code:26105-4199
Practice Address - Country:US
Practice Address - Phone:304-485-3300
Practice Address - Fax:304-865-5595
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV113621363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily