Healthcare Provider Details

I. General information

NPI: 1003631078
Provider Name (Legal Business Name): VICTORIA BUHRMAN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 CHESTNUT ST FL 8
PHILADELPHIA PA
19107-3612
US

IV. Provider business mailing address

2 PICARDY PL
SOUTHAMPTON NJ
08088-1259
US

V. Phone/Fax

Practice location:
  • Phone: 215-955-8900
  • Fax:
Mailing address:
  • Phone: 856-379-5147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP031514
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15210500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: