Individual provider · Type 1 NPI

Mary Kathryn Proctor, CRNP

Family Nurse Practitioner · Clinton, MD

NPI number 1144779158 Active

Practice location

9135 Piscataway Rd, Suite 420
Clinton, MD 20735-2549

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR140050 (MD)
Family Nurse Practitioner Primary 363LF0000XR140050 (MD)

Family Nurse Practitioner: Definition to come...

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About NPI 1144779158

Mary Kathryn Proctor, CRNP's National Provider Identifier is 1144779158, issued on Oct 3, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clinton, MD. The record was last updated on Oct 12, 2016.