| NPI | 1437610334 |
|---|---|
| Doing Business As | VICTORIAN HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | NATHANIEL BURKS Co Owner 469-386-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-08-12 |