Victoria Northup, MA is a
Student In An Organized Health Care Education/training Program based in Provo, Utah. Victoria Northup is licensed to practice in * (Not Available) (license number ) and her current practice location is
750 N Freedom Blvd, Provo, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 373-4760.
NPI number for Victoria Northup is 1457015810 and her current mailing address is 8326 S Durham St Apt E311, Sandy, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457015810.
Healthcare Provider's Profile
| Full Name | Victoria Northup |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 750 N Freedom Blvd, Provo, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457015810
- Provider Enumeration Date: 10/22/2021
- Last Update Date: 06/27/2023
Medical Identifiers
Medical identifiers for Victoria Northup such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457015810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | A0689 (Maryland) | Secondary |
| 103T00000X | Psychologist | A0689 (Maryland) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Victoria Northup is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Victoria Northup, MA
8326 S Durham St Apt E311,
Sandy, UT 84070-1263
Ph: (301) 448-0445 | Victoria Northup, MA
750 N Freedom Blvd,
Provo, UT 84601-1677
Ph: (801) 373-4760 |
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