Individual
DR. THERESA VICTORIA PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
11 NEWBURG AVE STE 3, CATONSVILLE, MD 21228-5172
(443) 207-0733
Mailing address
11 NEWBURG AVE STE 3, CATONSVILLE, MD 21228-5172
(443) 207-0733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F01210028
MD
Other
Enumeration date
03/08/2021
Last updated
04/09/2024
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