Healthcare Provider Details

I. General information

NPI: 1306707633
Provider Name (Legal Business Name): VICTORIA ANNE AUSTIN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 WASHINGTON ST
CANTON MA
02021-3037
US

IV. Provider business mailing address

371 PROSPECT ST
NORWELL MA
02061-1115
US

V. Phone/Fax

Practice location:
  • Phone: 781-828-5351
  • Fax:
Mailing address:
  • Phone: 781-987-4633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF11250333
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: