Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ETERNITY VICTORIA LEE, LAT, ATC
DeactivatedMS. ETERNITY VICTORIA LEE, LAT, ATC is a Athletic Trainer healthcare provider located in BROWNSBURG, Indiana. NPI 1841787553 is deactivated in the NPPES registry. Verify at CMS.
Athletic Trainer · BROWNSBURG, IN
This NPI has been deactivated.
The record was deactivated on April 1, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1841787553
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2018 (2.9534246575342 yrs)
- Last Updated
- Nov 10, 2021
- Deactivated
- Apr 1, 2021
- License
-
36003455A (IN)
Practice Information
- Address
-
1555 S ODELL STBROWNSBURG, IN, 461128041Browse IN providers · Browse ZIP 46112
- Phone
- 3174570906
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BROWNSBURG, IN
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID MILLER JESSUP | MS, ATC | 1518927789 |
| MR. CHRISTOPHER JAMES COMPTON | MS, LAT, ATC | 1861594194 |
| CHAD BROWN | ATC, LAT, CSCS | 1700154044 |
| HEATHER BURRIS | — | 1336539246 |
| ANDREW CRADLER | — | 1386149003 |
| MIKAYLA L PATTERSON | LAT, ATC | 1205481819 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.