NIKKI RAE PROCTOR LPN NPI 1740948272

NPI Information

  • NPI: 1740948272
  • Provider Name: NIKKI RAE PROCTOR, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 735 S 2ND ST
    CRESWELL, OR
    ZIP 97426
  • Phone: (541) 895-3333

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NPI Details

Nikki Rae Proctor, LPN is a licensed practical nurse in Creswell, OR. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Nikki Rae Proctor, LPN NPI is 1740948272. 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:

735 S 2ND ST
CRESWELL, OR
ZIP 97426-507
Phone: (541) 895-3333
Fax: (360) 356-9020

The enumeration date for this NPI number is 12/1/2021 and was last updated on 12/1/2021.

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
1164W00000XLicensed Practical Nurse201704153LPNOREGONYes

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
1NAOTHERN/A

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: 11/21/2025

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