MEDICARE: VICTORIA TUTEN APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11006050	FL

General Provider Information

NPI Number	:	1215569868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA TUTEN APRN

Provider Business Mailing Address
First Line	:	1850 SE 18TH AVE APT 1905
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-8259
Country	:	US
Telephone Number	:	850-464-7701
Fax Number	:

Provider Business Practice Location Address
First Line	:	1850 SE 18TH AVE APT 1905
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-8259
Country	:	US
Telephone Number	:	850-464-7701
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2020
Last Update Date	:	08/06/2021

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