National Provider Identifier
Katie Ann-Marie Proctor-Velez
Katie Ann-Marie Proctor-Velez is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Stanley, NY and a listed phone number of (585) 857-1094.
Profile Overview
- NPI
- 1801453105
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 22, 2019
- Last Updated
- May 22, 2019
Practice Location
- 4850 W Swamp RD
- Stanley, NY 14561-9735
Phone: (585) 857-1094
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1801453105
- Entity Type
- Individual
- Last Name
- Proctor-Velez
- First Name
- Katie
- Middle Name
- Ann-Marie
- Provider Other Last Name
- Proctor
- Provider Other First Name
- Katie
- Provider Other Middle Name
- Ann-Marie
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4850 W Swamp RD
- Mailing City
- Stanley
- Mailing State
- NY
- Mailing ZIP Code
- 14561-9735
- Mailing Country
- US
- Mailing Phone
- (585) 857-1094
- Mailing Fax
- (585) 526-5919
- Practice Street Address
- 4850 W Swamp RD
- Practice City
- Stanley
- Practice State
- NY
- Practice ZIP Code
- 14561-9735
- Practice Country
- US
- Practice Phone
- (585) 857-1094
- Practice Fax
- (585) 526-5919
- Enumeration Date
- May 22, 2019
- Last Updated
- May 22, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 330917 (NY, New York State)