Individual
MS. MARY KATHRYN PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9135 PISCATAWAY RD, SUITE 420, CLINTON, MD 20735-2549
(301) 868-2555
Mailing address
9135 PISCATAWAY RD, SUITE 420, CLINTON, MD 20735-2549
(301) 868-2555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R140050
MD
363LF0000X
Family Nurse Practitioner
Primary
R140050
MD
Other
Enumeration date
10/03/2016
Last updated
10/12/2016
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