Provider Demographics
NPI:1568144947
Name:ALVERSON, VICTORIA
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:ALVERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:848 N SAINT FRANCIS AVE STE 3901
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3858
Mailing Address - Country:US
Mailing Address - Phone:316-268-7030
Mailing Address - Fax:316-854-5737
Practice Address - Street 1:848 N SAINT FRANCIS AVE STE 3901
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3858
Practice Address - Country:US
Practice Address - Phone:316-268-7030
Practice Address - Fax:316-854-5737
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS82401363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care