MEDICARE: MS. VICTORIA LYNN KAMPPI R.N.

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	163WM0705X	Medical-Surgical Registered Nurse	RN343416	NY
2	163WN1003X	Nutrition Support Registered Nurse	RN343416	NY
3	163WS0121X	Plastic Surgery Registered Nurse	RN343416	NY
4	163WW0101X	Ambulatory Women's Health Care Registered Nurse	RN343416	NY

General Provider Information

NPI Number	:	1437484797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VICTORIA LYNN KAMPPI R.N.

Provider Business Mailing Address
First Line	:	330 E 79TH ST
Second Line	:	1D
City	:	NEW YORK
State	:	NY
Zip	:	10075-0966
Country	:	US
Telephone Number	:	917-992-3091
Fax Number	:	212-861-5838

Provider Business Practice Location Address
First Line	:	330 E 79TH ST
Second Line	:	1D
City	:	NEW YORK
State	:	NY
Zip	:	10075-0966
Country	:	US
Telephone Number	:	917-992-3091
Fax Number	:	212-861-5838

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

Provider Enumeration Date	:	10/05/2009
Last Update Date	:	10/05/2009

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