Willey, Victoria M.

Willey, Victoria M. is an individual health care provider with primary practice located at 1165 Imperial Dr Ste 200 , Hagerstown MD 21740-6583. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Willey, Victoria M. can be contacted via phone (301) 466-5190.

Contact Information

Primary practice address
1165 Imperial Dr Ste 200 Hagerstown MD 21740-6583
Phone: (301) 466-5190
Fax: (301) 466-5190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R097221 Maryland

Profile Details

NPI number 1972695070
LBN Legal business name Willey, Victoria M.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Dec 5th, 2023 - about last year

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 1972695070 NPPES
Maryland MEDICAID 482501201

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