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Nikki Rae Proctor, LPN
Licensed Practical Nurse in Creswell, Oregon
NPI 1740948272

Nikki Rae Proctor is a Licensed Practical Nurse based in Creswell, OR. Nikki Rae Proctor practices in Creswell, OR and has the professional credentials of LPN. The NPI Number for Nikki Rae Proctor is 1740948272 and holds a License No. 201704153LPN (Oregon).

The current practice location address for Nikki Rae Proctor is 735 S 2Nd St, Creswell, OR and can be reached out via phone at 541-895-3333 and via fax at 360-356-9020.

Location: 735 S 2Nd St, Creswell, OR, 97426-7507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740948272
Provider Name
Nikki Rae Proctor
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
735 S 2Nd St, Creswell, OR, 97426-7507
Phone Number
541-895-3333
Fax Number
360-356-9020
Provider Enumeration Date
12/01/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 N/A
institution
Provider Business Practice Location Address Details
Address
735 S 2Nd St
City
Creswell
State
Oregon
Zip
97426-7507
Phone Number
541-895-3333
Fax Number
360-356-9020
person
Provider Business Mailing Address Details
Address
735 S 2Nd St
City
Creswell
State
Oregon
Zip
97426-7507
Phone Number
541-895-3333
Fax Number
360-356-9020
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
201704153LPN (Oregon)
Definition
An individual 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.
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