Healthcare Provider Details

I. General information

NPI: 1760417034
Provider Name (Legal Business Name): VICTORIA KATHERINE BEGLEY N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 12/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4646 BROCKTON AVE SUITE 302
RIVERSIDE CA
92506-0102
US

IV. Provider business mailing address

4646 BROCKTON AVE SUITE 302
RIVERSIDE CA
92506-0102
US

V. Phone/Fax

Practice location:
  • Phone: 951-682-6900
  • Fax: 951-682-6905
Mailing address:
  • Phone: 951-682-6900
  • Fax: 951-682-6905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP15669
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: