Pamela W. Proctor, RN MSN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

193483-3102 Issued in UT

Practice address

University of Utah Health Care
50 North Medical Drive Som 4B120
Salt Lake City, UT 84132-0001

Phone

(801) 581-2161

Fax

(801) 585-1393

NPI assigned

Jul 1, 2009

Last updated

Jul 1, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1437387156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF UTAH HEALTH CARE",
            "address_2": "50 NORTH MEDICAL DRIVE SOM 4B120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-2161",
            "fax_number": "801-585-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF UTAH HEALTH CARE",
            "address_2": "50 NORTH MEDICAL DRIVE SOM 4B120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-2161",
            "fax_number": "801-585-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "PAMELA",
        "middle_name": "W.",
        "name_prefix": "Ms.",
        "credential": "RN MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "UT",
            "license": "193483-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Elizabeth Probst, CSW
• Michael Prochaska, M.D.
• Craig R. Proctor, DDS
• Cynthia Proctor
• Matthew Corbin Proctor, DDS
• Professional Consulting LLC
• Professional Dental SLC LLC
• Professional Diagnostics
• Professional Pharmacy Services (Professional Pharmacy Services LLC)
• Josie Proffit

• Medical-Surgical Registered Nurse in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Medical-Surgical Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.