Individual
REBECCA PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1019
(812) 242-3109
(812) 242-3990
Mailing address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1019
(812) 242-3109
(812) 242-3990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008405A
IN
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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