MEDICARE: MRS. DARLENE FRANCES PROCTOR RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024174319	VA
2	163W00000X	Registered Nurse	0001203912	VA

General Provider Information

NPI Number	:	1659506954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DARLENE FRANCES PROCTOR RN

Provider Business Mailing Address
First Line	:	6900 MIDLOTHIAN TPKE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-5635
Country	:	US
Telephone Number	:	804-635-0590
Fax Number	:	877-471-2998

Provider Business Practice Location Address
First Line	:	6900 MIDLOTHIAN TPKE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-5635
Country	:	US
Telephone Number	:	804-635-0590
Fax Number	:	877-471-2998

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2009
Last Update Date	:	03/24/2026

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