Doctor Name: | MRS. ARLENE MARIA PROCTOR |
NPI Number: | 1659627636 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CPN |
License Number: | 392623 |
Business Practice Address: | 8 Sunset Ave Pawling, NY - 125641421 |
Business Phone Number: | 8458551054 |
Business Fax Number: | |
Mailing Address: | 8 Sunset Ave, PAWLING |
State: | NY |
Postal Code: | 125641421 |
Phone Number: | 8458551054 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2012 |
NPI Last Update Date: | 07/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 392623 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |