Healthcare Provider Details

I. General information

NPI: 1104913722
Provider Name (Legal Business Name): VICTORIA L CURLEY R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 HANNAH BLVD STE 104
EAST LANSING MI
48823-5384
US

IV. Provider business mailing address

D128 WEST FEE HALL
EAST LANSING MI
48824-1315
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-8028
  • Fax: 517-332-4576
Mailing address:
  • Phone: 517-355-3503
  • Fax: 517-432-1167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number4704079998
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: