Victoria Holman

Individual provider Active NPI Family Nurse Practitioner · Marion, MA

NPI 1972126027 · NPPES record last updated Feb 7, 2024

Key facts

NPI
1972126027
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN2330266 (MA)
Practice address
240 Wareham Rd
Marion, MA 02738-1175
Phone
(508) 748-1313
Fax
(508) 748-2590
NPI assigned
May 23, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN2330266MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gleason & Greenfield Pediatrics, PC Single Specialty Current
since Feb 11, 2024
Accepting new patients

Locations

240 Wareham Rd
Marion, MA 02738
Phone (508) 748-1313

Interoperability endpoints

  • Direct secure messaging: finn.victoria.ggp@direct.partners.masshiway.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X RN2330266 MA Yes

Addresses

Primary practice location

240 Wareham Rd
Marion, MA 02738-1175

Mailing address

240 Wareham Rd
Marion, MA 02738-1175
Phone (508) 748-1313

Other providers in Marion, MA

All providers in Marion, MA · Family Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.