Individual provider · Type 1 NPI

Amanda Reed Proctor

Nurse Practitioner · Deer Park, WA

NPI number 1831850023 Active

Practice location

905 E D St
Deer Park, WA 99006-5167

Fax (509) 276-7785

Mailing address

901 Mountain View Dr
Shelton, WA 98584-4401

Other practice locations

  • 24261 N US Highway 101, Hoodsport, WA 98548-9456 · (360) 432-7781
  • 702 S Park St, Deer Park, WA 99006-7025 · (509) 262-9000

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XF10211086 (WA)
Nurse Practitioner Primary 363L00000XAP61250114 (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

8 other providers at this address

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About NPI 1831850023

Amanda Reed Proctor's National Provider Identifier is 1831850023, issued on Jan 10, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Deer Park, WA. The record was last updated on Jun 15, 2023.