| Doctor Name: | MRS. FREEDOM LEE BEVINGTON PROCTOR |
| NPI Number: | 1275991309 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP015911 |
| Business Practice Address: | 1181 Freedom Rd Cranberry Twp, PA - 160664913 |
| Business Phone Number: | 8663892727 |
| Business Fax Number: | |
| Mailing Address: | 703 Rustic Ridge Dr, CRANBERRY TOWNSHIP |
| State: | PA |
| Postal Code: | 160662155 |
| Phone Number: | 7247126880 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2016 |
| NPI Last Update Date: | 05/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP015911 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |