Healthcare Provider Details

I. General information

NPI: 1841863982
Provider Name (Legal Business Name): VICTORIA VANIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VICTORIA MORROW APRN

II. Dates (important events)

Enumeration Date: 07/16/2021
Last Update Date: 02/25/2024
Certification Date: 02/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3307 SPRING STUEBNER RD STE D
SPRING TX
77389-4690
US

IV. Provider business mailing address

3307 SPRING STUEBNER RD STE D
SPRING TX
77389-4690
US

V. Phone/Fax

Practice location:
  • Phone: 346-800-6001
  • Fax:
Mailing address:
  • Phone: 346-800-6001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1045077
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: