Healthcare Provider Details

I. General information

NPI: 1215207543
Provider Name (Legal Business Name): VICTORIA TITUS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICTORIA TITUS MD

II. Dates (important events)

Enumeration Date: 01/03/2012
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 CENTRAL AVE STE 302A
HYATTSVILLE MD
20785-4853
US

IV. Provider business mailing address

8700 CENTRAL AVE STE 302A
HYATTSVILLE MD
20785-4853
US

V. Phone/Fax

Practice location:
  • Phone: 301-613-9295
  • Fax: 888-202-7717
Mailing address:
  • Phone: 301-613-9292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR184425
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR184425
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: