Healthcare Provider Details

I. General information

NPI: 1740945781
Provider Name (Legal Business Name): VICTORIA DOVER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2021
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 BLUE HEN DR
NEWARK DE
19713-3406
US

IV. Provider business mailing address

PO BOX 1269
HOCKESSIN DE
19707-5269
US

V. Phone/Fax

Practice location:
  • Phone: 302-485-0702
  • Fax:
Mailing address:
  • Phone: 302-485-0702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0011799
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0010935
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: