MEDICARE: NADIA MARIE PROCTOR

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	163WN0300X	Nephrology Registered Nurse	4704390891	MI

General Provider Information

NPI Number	:	1851259477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADIA MARIE PROCTOR

Provider Business Mailing Address
First Line	:	2222 S LINDEN RD STE S
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-5476
Country	:	US
Telephone Number	:	810-732-2283
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 S LINDEN RD STE S
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-5476
Country	:	US
Telephone Number	:	810-732-2283
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ NADIA MARIE PROCTOR ” Practice Location

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