LINDA SUSAN PROCTOR NPI 1700905312

NPI Information

NPI: 1700905312
Provider Name: LINDA SUSAN PROCTOR
Classification: Registered Nurse - 163WS0200X
Entity Type: Individual

Specialization: School

Address:
1025 N. COUNTRY CLUB DRIVE
MESA, AZ
ZIP 85201
Phone: (480) 472-2350
Get Directions

Linda Susan Proctor is a school registered nurse in Mesa, AZ. Linda Susan Proctor NPI is 1700905312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1025 N. COUNTRY CLUB DRIVE
MESA, AZ
ZIP 85201
Phone: (480) 472-2350

The enumeration date for this NPI number is 3/28/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WS0200X	Registered Nurse	School	RN02870	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	591893	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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