Individual
VICTORIA ELIZABETH FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 CONVENTION AVE, PHILADELPHIA, PA 19104-4311
(610) 662-4000
Mailing address
703 STATE RD, WEST GROVE, PA 19390-9401
(484) 667-6139
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
SP031145
PA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
SP031145
PA
Other
Enumeration date
11/25/2024
Last updated
11/29/2024
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