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Kathy Ellarene Novella Proctor, MS,BSN,RN-CCM
Nutrition Education Nutritionist in Dumont, New Jersey
NPI 1962121251

Kathy Ellarene Novella Proctor is a Nutrition Education Nutritionist based in Dumont, NJ and is specialized in Nutrition, Education. Kathy Ellarene Novella Proctor practices in Dumont, NJ and has the professional credentials of MS,BSN,RN-CCM. The NPI Number for Kathy Ellarene Novella Proctor is 1962121251 and holds a License No. 26NR22095100 (New Jersey).

The current practice location address for Kathy Ellarene Novella Proctor is 182 E Linden Ave, Dumont, NJ and can be reached out via phone at 646-401-3115 and via fax at 201-330-4645.

Location: 182 E Linden Ave, Dumont, NJ, 07628-1916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962121251
Provider Name
Kathy Ellarene Novella Proctor
Credential
MS,BSN,RN-CCM
Provider Entity Type
Individual
Gender
Female
Address
182 E Linden Ave, Dumont, NJ, 07628-1916
Phone Number
646-401-3115
Fax Number
201-330-4645
Provider Enumeration Date
08/22/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
182 E Linden Ave
City
Dumont
State
New Jersey
Zip
07628-1916
Phone Number
646-401-3115
Fax Number
201-330-4645
person
Provider Business Mailing Address Details
Address
182 E Linden Ave
City
Dumont
State
New Jersey
Zip
07628-1916
Phone Number
646-401-3115
Fax Number
201-330-4645
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
133NN1002X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Case Management
Taxonomy
163WC0400X
License No.
543566 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
26NR22095100 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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