VICTORIA DEGRAFF
NPI 1801568936
Registered Nurse - General Practice in Mongaup Valley, NY
Active since September 28, 2021
About Victoria Degraff NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICTORIA DEGRAFF (NPI 1801568936) is an individual general practice provider in Mongaup Valley, New York, licensed in New York (484980) and active in the NPI registry since September 2021.
NPPES Registry Identity
NPI1801568936
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameVICTORIA DEGRAFF
Location Address859 CREAMERY RDMongaup Valley, NY 12762
Mailing AddressPo Box 592Mongaup Valley, NY 12762-0592 · (845) 807-9138
Phone(845) 807-9138
Sole ProprietorYes
Enumeration DateSeptember 28, 2021
NPPES CertifiedSeptember 10, 2021
✔ NPI 1801568936 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in NY · 484980
859 CREAMERY RD, Mongaup Valley, NY 12762
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801568936, enumerated as an "individual" on September 28, 2021.
The provider is located at 859 CREAMERY RD MONGAUP VALLEY, NY 12762 and the phone number is (845) 807-9138.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
