Healthcare Provider Details

I. General information

NPI: 1093363947
Provider Name (Legal Business Name): VICTORIA FRIEDMAN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 CONGRESS ST FL 2
PORTLAND ME
04101-3531
US

IV. Provider business mailing address

784 HERCULES DR STE 110
COLCHESTER VT
05446-8049
US

V. Phone/Fax

Practice location:
  • Phone: 866-476-1321
  • Fax: 207-773-1697
Mailing address:
  • Phone: 802-448-9784
  • Fax: 802-448-9784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP191190
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: