Provider Demographics
NPI:1912932591
Name:MORAWITZ, VICTORIA A (NP)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:A
Last Name:MORAWITZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050S BLOSSER RD
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-7310
Mailing Address - Country:US
Mailing Address - Phone:805-361-8028
Mailing Address - Fax:805-361-8097
Practice Address - Street 1:210 S PALISADE DR
Practice Address - Street 2:102
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-8901
Practice Address - Country:US
Practice Address - Phone:805-928-7951
Practice Address - Fax:805-928-6839
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4077363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA268529OtherCALIFORNIA BOARD OF REGISTERED NURSING
CA4077OtherCALIFORNIA BOARD OF REGISTERED NURSING