Provider Demographics
NPI:1174396949
Name:CARTER, VICTORIA (RN)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 FULHAM DRIVE CANNERY VILLAGE
Mailing Address - Street 2:
Mailing Address - City:MILTON, DE
Mailing Address - State:DE
Mailing Address - Zip Code:19968
Mailing Address - Country:US
Mailing Address - Phone:130-824-8020
Mailing Address - Fax:
Practice Address - Street 1:17344 SWEETBRIAR RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4021
Practice Address - Country:US
Practice Address - Phone:302-645-5469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0035143163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty