Provider Demographics
NPI:1972747947
Name:LADUE, VIKTORIYA (RNFA)
Entity type:Individual
Prefix:
First Name:VIKTORIYA
Middle Name:
Last Name:LADUE
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 DOMINICK CT
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-3110
Mailing Address - Country:US
Mailing Address - Phone:973-921-0721
Mailing Address - Fax:973-467-2729
Practice Address - Street 1:14 DOMINICK CT
Practice Address - Street 2:
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-3110
Practice Address - Country:US
Practice Address - Phone:973-921-0721
Practice Address - Fax:973-467-2729
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR10656800163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant