Provider Demographics
NPI:1821825639
Name:PROCTOR, NATALIE P (PA-C)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:P
Last Name:PROCTOR
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1529 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:LUNENBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01462-1845
Mailing Address - Country:US
Mailing Address - Phone:978-424-7160
Mailing Address - Fax:
Practice Address - Street 1:55 PALMER AVE
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3403
Practice Address - Country:US
Practice Address - Phone:914-787-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant