IndividualActive
Amanda Proctor
NPI 1831850023 · Nurse Practitioner · Deer Park, WA
Provider details
- NPI number
- 1831850023
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- F10211086 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
905 E D St
Deer Park, WA 99006-5167
Phone: (509) 276-5005
Fax: (509) 276-7785
Approximate (ZIP-level) locationGet directions
Mailing address
901 Mountain View Dr
Shelton, WA 98584-4401
Additional practice locations (2)
- 702 S Park StDeer Park, WA 99006-7025Phone: (509) 262-9000Fax: (509) 276-3034
- 24261 N US Highway 101Hoodsport, WA 98548-9456Phone: (360) 432-7781
Registry dates
- Enumerated
- 2022-01-10
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.