Provider Demographics
NPI:1982957213
Name:HANSON, VICTORIA SINCLAIR (MSN, APRN)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:SINCLAIR
Last Name:HANSON
Suffix:
Gender:F
Credentials:MSN, APRN
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:SINCLAIR
Other - Last Name:HOOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:9 MILOS
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-8928
Mailing Address - Country:US
Mailing Address - Phone:781-738-4447
Mailing Address - Fax:
Practice Address - Street 1:3300 W COAST HWY
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663
Practice Address - Country:US
Practice Address - Phone:949-247-7703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22454363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health