Individual provider · Type 1 NPI

Courtney Proctor

Women's Health Nurse Practitioner · Costa Mesa, CA

NPI number 1083958870 Active

Practice location

601 W 19th St
Costa Mesa, CA 92627-5060

Mailing address

601 West 19th St
Costa Mesa, CA 92627

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X22352 (CA)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1083958870

Courtney Proctor's National Provider Identifier is 1083958870, issued on Nov 16, 2012. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Costa Mesa, CA. The record was last updated on Nov 16, 2012.