KATHY ELLARENE NOVELLA PROCTOR

DUMONT, NJ
NPI1962121251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133NN1002X Nutritionist, Nutrition, Education
Additional Taxonomies163WC0400X Registered Nurse, Case Management
(Licence: NJ  26NR22095100)
163WC0400X Registered Nurse, Case Management
(Licence: NY  543566)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-08-22
Last Update Date2024-02-25
Business Address
KATHY ELLARENE NOVELLA PROCTOR MS, BSN, RN- CCM
182 E LINDEN AVE
DUMONT, NJ 07628-1916
Phone number: 646-401-3115
Mailing Address
KATHY ELLARENE NOVELLA PROCTOR MS, BSN, RN- CCM
182 E LINDEN AVE
DUMONT, NJ 07628-1916
Phone number: 646-401-3115