Provider Demographics
NPI:1871340901
Name:MASSERY, VICTORIA P (APRN)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:P
Last Name:MASSERY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4301 W MARKHAM ST # 783
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8000
Mailing Address - Fax:501-526-5148
Practice Address - Street 1:625 UNITED DR STE 350
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-7829
Practice Address - Country:US
Practice Address - Phone:501-358-6792
Practice Address - Fax:501-357-6841
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AR121386363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care