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

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XF430338 (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.