Provider Demographics
NPI:1255485686
Name:PROCTOR-WENDLING, DARLENE R (NP)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:R
Last Name:PROCTOR-WENDLING
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Gender:F
Credentials:NP
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Mailing Address - Street 1:777 NORTH ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4147
Mailing Address - Country:US
Mailing Address - Phone:413-499-8510
Mailing Address - Fax:413-499-8549
Practice Address - Street 1:777 NORTH ST
Practice Address - Street 2:SUITE 207
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4147
Practice Address - Country:US
Practice Address - Phone:413-499-8510
Practice Address - Fax:413-499-8549
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2009-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA233810363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily