Individual
KATHRYN GRACE VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(410) 402-2379
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(410) 402-2379
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2261928
MA
Other
Enumeration date
09/30/2011
Last updated
02/01/2024
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