Healthcare Provider Details

I. General information

NPI: 1780504902
Provider Name (Legal Business Name): VICTORIA ANN PLOTAS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 WEST AVE
SPRINGFIELD PA
19064-3623
US

IV. Provider business mailing address

22 WEST AVE
SPRINGFIELD PA
19064-3623
US

V. Phone/Fax

Practice location:
  • Phone: 301-500-4519
  • Fax:
Mailing address:
  • Phone: 301-500-4519
  • Fax: 301-500-4519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberSP036457
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: