Individual
MRS. VICTORIA INCOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6334 CEDAR LN STE 103, COLUMBIA, MD 21044-4172
(410) 531-2355
(410) 531-7041
Mailing address
6334 CEDAR LN STE 103, COLUMBIA, MD 21044-4172
(410) 531-2355
(410) 531-7041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
13AL0299-A
MD
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
13AL0299-A
MD
363LF0000X
Family Nurse Practitioner
Primary
R210362
MD
Other
Enumeration date
10/06/2021
Last updated
01/13/2026
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