Most Relevant Information
Provider Data
| NPI Number: | 1003688839 |
| Provider Name: | VIKTORIIA PASSARO FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WM0705X |
| Specialty: | Registered Nurse |
| License Number: | 041.455121 |
Most Important Dates
| Enumeration Date: | 10/25/2023 |
| Last Updated: | 09/24/2024 |
Provider Practice Location
1804 DAVIE AVE
STATESVILLE
NC
286773524
Practice Location Phone/Fax
| Phone: | 7048737250 |
| Fax: | 7048789457 |
Provider Mailing Location
PO BOX 1845
STATESVILLE
NC
286871845
Provider Mailing Phone/Fax
| Phone: | 7048734277 |
| Fax: |