Individual provider · Type 1 NPI
Abigail Proctor, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1033821772
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
2641 S Hicks St
Philadelphia, PA 19145-4621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP026279 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1033821772
Abigail Proctor, CRNP's National Provider Identifier is 1033821772, issued on Dec 14, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 14, 2022.