Doctor Name: | MS. VICTORIA B. KNOWLTON |
NPI Number: | 1336243807 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 131213 |
Business Practice Address: | 365 East St Tewksbury, MA - 018761950 |
Business Phone Number: | 9788517321 |
Business Fax Number: | 9788583819 |
Mailing Address: | 42 Curtis St, ROCKPORT |
State: | MA |
Postal Code: | 019661242 |
Phone Number: | 9785467986 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 131213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |