Arlene Maria Proctor, RN, CPN
Individual provider Active NPI Pediatric Registered Nurse · Pawling, NY
NPI 1659627636 · NPPES record last updated Jul 27, 2012
Key facts
- NPI
- 1659627636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Registered Nurse 163WP0200X
- License
- 392623 (NY)
- Practice address
- 8 Sunset Ave
Pawling, NY 12564-1421 - Phone
- (845) 855-1054
- NPI assigned
- Jul 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 392623 | NY | MD | Pediatric Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 392623 | NY | Yes |
Addresses
Primary practice location
8 Sunset Ave
Pawling, NY 12564-1421
Mailing address
8 Sunset Ave
Pawling, NY 12564-1421
Phone (845) 855-1054
Other providers in Pawling, NY
- Anthony Frank Pagliaro
- Trisha Constance Pagliucajohnson
- Salvatore A Paratore
- Pawling Central Schools
- Phyllis Callender
- Putnam Taxi & Car Service, Inc.
- Radovic NP in Adult Health PLLC
- Raymond Opticians of Pawling, Inc.
- Resolution RX Inc
- Natalie Braia Rodriguez
All providers in Pawling, NY · Pediatric Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.