Provider Demographics
NPI:1326804774
Name:PROCTOR, LINDSAY ERIN (FNP-APRN)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ERIN
Last Name:PROCTOR
Suffix:
Gender:F
Credentials:FNP-APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 RANDOLPH RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-4042
Mailing Address - Country:US
Mailing Address - Phone:203-525-1934
Mailing Address - Fax:
Practice Address - Street 1:1630 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4042
Practice Address - Country:US
Practice Address - Phone:203-525-1934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT163195163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse