Organization
VICTORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN PALMER MSN, FNP, PMHNP-BC (CEO)
(301) 346-4141
Entity
Organization
Contact information
Practice address
8507 OXON HILL RD, STE 200 #1103, FORT WASHINGTON, MD 20744
(301) 485-9643
Mailing address
8507 OXON HILL RD, STE 200 #1103, FORT WASHINGTON, MD 20744
(301) 485-9643
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/22/2024
Last updated
01/07/2025
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