Provider Demographics
NPI:1437387156
Name:PROCTOR, PAMELA W (RN MSN)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:W
Last Name:PROCTOR
Suffix:
Gender:F
Credentials:RN MSN
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Mailing Address - Street 1:UNIVERSITY OF UTAH HEALTH CARE
Mailing Address - Street 2:50 NORTH MEDICAL DRIVE SOM 4B120
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:801-581-2161
Mailing Address - Fax:801-585-1393
Practice Address - Street 1:UNIVERSITY OF UTAH HEALTH CARE
Practice Address - Street 2:50 NORTH MEDICAL DRIVE SOM 4B120
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-581-2161
Practice Address - Fax:801-585-1393
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT193483-3102163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical