MS. MARY KATHRYN PROCTOR


Address: 9135 Piscataway Rd, Suite 420, Clinton, MD 20735-2549
Phone: 3018682555

MS. MARY KATHRYN PROCTOR (NPI# 1144779158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144779158
Entity Type Individual
Full Name MS. MARY KATHRYN PROCTOR
Credential CRNP
Practice Address 9135 Piscataway Rd
Suite 420
Clinton
MD 20735-2549
Practice Telephone 3018682555
Mailing Telephone 3018682555
Enumeration Date 2016-10-03
Last Update Date 2016-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse R140050 MD Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
R140050 MD Physician Assistants & Advanced Practice Nursing Providers

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1417233164 Mary Beth Proctor Physical Therapist 355 E Grand Ave Ste 4, Escondido, CA 92025-3313 2011-10-26
1417091083 Mary Elizabeth Proctor Nurse Practitioner 7232 Van Nuys Blvd Ste 101, Van Nuys, CA 91405-2231 2007-02-16
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Office Location

Street Address 9135 PISCATAWAY RD
SUITE 420
City CLINTON
State MD
Zip Code 20735-2549

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215934922 Jay Stuart Copeland Urology 9135 Piscataway Rd, Ste 330, Clinton, MD 20735-2549 2005-07-07
1306321443 Carine Gouetso Ndeko Nurse Practitioner 9135 Piscataway Rd, Clinton, MD 20735-2549 2018-09-25
1588150262 Henry Tama Nurse Practitioner 9135 Piscataway Rd, Clinton, MD 20735-2549 2018-07-06
1629595533 Michon Lynette Powell Nutritionist 9135 Piscataway Rd, Clinton, MD 20735-2549 2017-08-23
1598281818 Muhammad Abdul-raheem Psychologist 9135 Piscataway Rd, Clinton, MD 20735-2549 2017-08-17
1568823268 Hema Venkata Naga Rajesh Vemuri Physical Therapist 9135 Piscataway Rd, Ste 305, Clinton, MD 20735-2549 2016-03-09
1932569050 Melissa Luttrell Occupational Therapist 9135 Piscataway Rd, 305, Clinton, MD 20735-2549 2016-03-02
1588051155 Premier Orthopedics, P.a. Orthopaedic Surgery 9135 Piscataway Rd, Suite 300, Clinton, MD 20735-2549 2015-04-22
1710373576 Ashley Watkins Counselor 9135 Piscataway Rd, Suite 245, Clinton, MD 20735-2549 2015-04-08
1427440882 Arise Therapy and Life Coaching Center,llc Counselor 9135 Piscataway Rd, 410, Clinton, MD 20735-2549 2015-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760940456 Elise Olson Occupational Therapist 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 2019-03-12
1437651742 Total You Integrative Healthcare Inc Clinic/Center 9135 Piscataway Rd Ste 410, Clinton, MD 20735 2018-03-02
1386193233 Benedicta C Osamor Home Health Aide 6808 Purple Lilac Ln, Clinton, MD 20735 2016-10-03
1669926309 Frankline Ngozi Obi I Home Health Aide 8111 Highland Meadows Dr, Clinton, MD 20735 2016-08-11
1770952459 Adventures One, Inc. Clinic/Center 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 2015-09-23
1730574831 Lindsey Degeorge Emergency Medicine 7503 Surratts Rd Dept Of, Clinton, MD 20735 2015-04-06
1316341860 Margaret Laurence-whitlock Speech-Language Pathologist 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 2014-10-13
1699103622 Dcps Social Worker 5504 Trout Run Rd, Clinton, MD 20735 2013-10-30
1902232614 Rafael Antonio Acosta Dentist 7905 Malcolm Rd Ste 300, Clinton, MD 20735 2013-09-25
1407135874 Richelle Wilson Harvey Occupational Therapist 8202 Shackelford Way, Clinton, MD 20735 2011-08-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407463300 Sheryl Punzal Deguzman-buenaventura Nurse Practitioner 12410 Hillantrae Dr, Clinton, MD 20735-6510 2020-09-25
1003426396 Rollie Stewart Walker Nurse Practitioner 114 Riverview Dr, Clinton, OK 73601-1805 2020-08-03
1316585813 Sherkeysha Henderson Nurse Practitioner 106 Rosalie Ct, Clinton, MS 39056-6053 2019-12-16
1528600707 Allison Maddox Nurse Practitioner 7506 Abelia Dr, Clinton, MD 20735-3135 2019-10-09
1205486347 Elizabeth Oti Nurse Practitioner 313 Park Edge Dr, Clinton, PA 15026-1785 2019-09-19
1326609074 Lauren Blakley Nurse Practitioner 2130 N Charles G Seivers Blvd Ste 3, Clinton, TN 37716-6705 2019-06-24
1346807443 Karen Daniels Nurse Practitioner 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 2019-05-23
1205490380 Cynthia Diane Saylors Nurse Practitioner 64 Somerset Dr, Clinton, IL 61727-2478 2019-04-24
1720546864 Lesley Brooke Keith Nurse Practitioner 422 Highway 95 E, Clinton, AR 72031-6947 2019-03-07
1578020822 Caroline V Green Nurse Practitioner 768 Cherry Stone Dr, Clinton, MS 39056-2015 2019-02-22
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Competitor

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City CLINTON
Zip Code 20735

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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