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NPI Code Detail

MEDICARE: DR. VICTORIA B. KNOWLTON DNP

MEDICARE: DR. VICTORIA B. KNOWLTON DNP
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
1363LA2200XAdult Health Nurse Practitioner131213MA

General Provider Information

NPI Number : 1336243807
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTORIA B. KNOWLTON DNP
Provider Business Mailing Address
First Line : 42 CURTIS ST
Second Line :
City : ROCKPORT
State : MA
Zip : 01966-1242
Country : US
Telephone Number : 978-546-7986
Fax Number :
Provider Business Practice Location Address
First Line : 42 CURTIS ST
Second Line :
City : ROCKPORT
State : MA
Zip : 01966-1242
Country : US
Telephone Number : 978-943-2068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2006
Last Update Date : 11/13/2019

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