Provider Demographics
NPI:1912604810
Name:HOAR, VICTORIA CATHERINE FAITH
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:CATHERINE FAITH
Last Name:HOAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WV
Mailing Address - Zip Code:26354-1814
Mailing Address - Country:US
Mailing Address - Phone:304-694-4919
Mailing Address - Fax:
Practice Address - Street 1:242 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WV
Practice Address - Zip Code:26354-1814
Practice Address - Country:US
Practice Address - Phone:304-694-4919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant