Victor E Pena Duval, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

087888-23 Issued in NH

Practice address

23 Crystal Ave # B
Derry, NH 03038-2425

Phone

(603) 931-4345

NPI assigned

Oct 22, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1497576367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CRYSTAL AVE # B",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382425",
            "telephone_number": "603-931-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CRYSTAL AVE # B",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382425",
            "telephone_number": "603-931-4345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Marston St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018412356",
            "country_code": "US",
            "telephone_number": "978-258-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA DUVAL",
        "first_name": "VICTOR",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-22",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2364370",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "087888-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hiral H Patel, MD
• Julie Lynn Patten, FNP, PMHNP
• Gerianne Patti
• Barbara Pattison, RPH
• Douglas Peckham, PT
• Elizabeth Anne Perkins, OTR/L
• Susan Perrault
• Meghan Peschiera, AU.D.
• Stacey Pfaff
• Kristin Phelps, LCMHC

• Family Nurse Practitioner in Derry, NH
• Providers in Derry, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.