Individual
VICTORIA SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHMP-BC
Contact information
Practice address
9979 WINGHAVEN BLVD STE 204, O FALLON, MO 63368-3628
(636) 695-4554
(636) 695-3099
Mailing address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 582-1234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F09191251
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021008275
MO
Other
Enumeration date
09/26/2019
Last updated
05/19/2025
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