Healthcare Provider Details

I. General information

NPI: 1497276703
Provider Name (Legal Business Name): VICTORIA CHRIS KAMINSKI DNP, FNP-BC, AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 W NEWBERRY RD
GAINESVILLE FL
32605-4309
US

IV. Provider business mailing address

6500 W NEWBERRY RD
GAINESVILLE FL
32605-4309
US

V. Phone/Fax

Practice location:
  • Phone: 352-333-4900
  • Fax:
Mailing address:
  • Phone: 352-333-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN9345486
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9345486
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: