Provider Demographics
NPI:1992078513
Name:HAHR, VICTORIA BRILLHART (LPN)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:BRILLHART
Last Name:HAHR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:JOY
Other - Last Name:BRILLHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:32 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:PASSUMPSIC
Mailing Address - State:VT
Mailing Address - Zip Code:05861-9800
Mailing Address - Country:US
Mailing Address - Phone:802-274-7705
Mailing Address - Fax:
Practice Address - Street 1:32 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:PASSUMPSIC
Practice Address - State:VT
Practice Address - Zip Code:05861-9800
Practice Address - Country:US
Practice Address - Phone:802-274-7705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT025.0078940164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse