Healthcare Provider Details

I. General information

NPI: 1437484797
Provider Name (Legal Business Name): VICTORIA LYNN KAMPPI R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TORI KAMPPI R.N.

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 10/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 E 79TH ST 1D
NEW YORK NY
10075-0966
US

IV. Provider business mailing address

330 E 79TH ST 1D
NEW YORK NY
10075-0966
US

V. Phone/Fax

Practice location:
  • Phone: 917-992-3091
  • Fax: 212-861-5838
Mailing address:
  • Phone: 917-992-3091
  • Fax: 212-861-5838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN343416
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License NumberRN343416
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code163WS0121X
TaxonomyPlastic Surgery Registered Nurse
License NumberRN343416
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberRN343416
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: