Individual
GINA M PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP WHNP-BC
Contact information
Practice address
1 GATEWAY CTR STE 2600, NEWARK, NJ 07102-5323
(888) 731-8994
Mailing address
1 GATEWAY CTR STE 26, NEWARK, NJ 07102-5310
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ01424900
NJ
363LW0102X
Women's Health Nurse Practitioner
SO026125
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
SP026125
PA
Other
Enumeration date
09/07/2022
Last updated
02/08/2025
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