Provider Demographics
NPI:1659506954
Name:PROCTOR, DARLENE FRANCES (RN)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:FRANCES
Last Name:PROCTOR
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Gender:F
Credentials:RN
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Mailing Address - Street 1:6900 MIDLOTHIAN TPKE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5635
Mailing Address - Country:US
Mailing Address - Phone:804-635-0590
Mailing Address - Fax:877-471-2998
Practice Address - Street 1:6900 MIDLOTHIAN TPKE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-5635
Practice Address - Country:US
Practice Address - Phone:804-635-0590
Practice Address - Fax:877-471-2998
Is Sole Proprietor?:No
Enumeration Date:2009-05-16
Last Update Date:2024-02-19
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Provider Licenses
StateLicense IDTaxonomies
VA0024174319363LF0000X
VA0001203912163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse