Individual provider · Type 1 NPI
Tracy A. Proctor, CRNP
Psychiatric/Mental Health Nurse Practitioner · Youngwood, PA
NPI number
1306489174
Active
Practice location
1050 Depot St
Youngwood, PA 15697-1360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP020961 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1306489174
Tracy A. Proctor, CRNP's National Provider Identifier is 1306489174, issued on Oct 23, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Youngwood, PA. The record was last updated on Oct 23, 2019.