Healthcare Provider Details

I. General information

NPI: 1518690312
Provider Name (Legal Business Name): VICTORIA LYNN CARVALHO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VICTORIA LYNN LEMME

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 FARMINGTON AVE
FARMINGTON CT
06030-0001
US

IV. Provider business mailing address

49 BARNUM RD
DANBURY CT
06811-2971
US

V. Phone/Fax

Practice location:
  • Phone: 860-679-2397
  • Fax:
Mailing address:
  • Phone: 203-746-1019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number10732
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: