Individual provider · Type 1 NPI
Lisa Proctor, NP
Acute Care Nurse Practitioner · Ithaca, NY
NPI number
1114143419
Active
Practice location
310 Taughannock Blvd
Ithaca, NY 14850-3251
Mailing address
110 Vanwoert Rd
Spencer, NY 14883-9721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | F430338 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1114143419
Lisa Proctor, NP's National Provider Identifier is 1114143419, issued on Apr 17, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Ithaca, NY. The record was last updated on Feb 21, 2011.