Basic Information
| Provider Information | |||||||||
| NPI: | 1184985186 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PAPPAS | ||||||||
| FirstName: | VICTORIA | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1650 RALEIGH ST UNIT 237 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802042168 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7746447687 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7400 E ORCHARD RD STE 2850N | ||||||||
| Address2: | |||||||||
| City: | GREENWOOD VILLAGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801112528 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7207825100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2012 | ||||||||
| LastUpdateDate: | 12/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | RN.1669617 | CO | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health | 363LP0808X | APN.0995753.NP | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
ID Information
| ID | Type | State | Issuer | Description | 2016012136 | 01 | AMERICAN NURSES CREDENTIALLING CENTER | OTHER |