Victorious, Mary

Victorious, Mary is an individual health care provider with primary practice located at 143 North St Ste 2 , Auburn NY 13021-1852. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Victorious, Mary can be contacted via phone (315) 252-5028.

Contact Information

Primary practice address
143 North St Ste 2 Auburn NY 13021-1852
Phone: (315) 252-5028
Fax: (315) 252-1587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 795713 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 002322 New York

Profile Details

NPI number 1255942017
LBN Legal business name Victorious, Mary
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2020
Last updated Jan 16th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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