Vanacore, Victoria

Vanacore, Victoria is an individual health care provider with primary practice located at 1941 S Germantown Rd Ste 103 , Germantown TN 38138-2862. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Vanacore, Victoria can be contacted via phone (901) 754-8880.

Contact Information

Primary practice address
1941 S Germantown Rd Ste 103 Germantown TN 38138-2862
Phone: (901) 754-8880
Fax: (901) 754-8883
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106248 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3386 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9106248 Florida

Profile Details

NPI number 1396020426
LBN Legal business name Vanacore, Victoria
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2011
Last updated Mar 6th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396020426 NPPES
Florida MEDICAID 016646600
Florida Other 1242841
Florida Other 5359596
Florida Other P1032516
Florida Other P968867
Florida Other YJAAL
Florida Other 9422829
Florida Other 398528
Florida Other P01584470

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