Provider Demographics
NPI:1174232953
Name:RAHMANOVA, VIKTORIA (RN, CWOCN)
Entity type:Individual
Prefix:MRS
First Name:VIKTORIA
Middle Name:
Last Name:RAHMANOVA
Suffix:
Gender:F
Credentials:RN, CWOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 JOVAL CT
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-5966
Mailing Address - Country:US
Mailing Address - Phone:718-288-4031
Mailing Address - Fax:775-258-7029
Practice Address - Street 1:33 JOVAL CT
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-5966
Practice Address - Country:US
Practice Address - Phone:718-288-4031
Practice Address - Fax:775-258-7029
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY612476163WC2100X, 163WX1500X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163WC2100XNursing Service ProvidersRegistered NurseContinence Care
No163WX1500XNursing Service ProvidersRegistered NurseOstomy Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000OtherN/A