Proctor, Kathy Ellarene Novella

Proctor, Kathy Ellarene Novella is an sole proprietor health care provider with primary practice located at 182 E Linden Ave , Dumont NJ 07628-1916. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutrition, Education is her primary health care specialty. Proctor, Kathy Ellarene Novella can be contacted via phone (646) 401-3115.

Contact Information

Primary practice address
182 E Linden Ave Dumont NJ 07628-1916
Phone: (646) 401-3115
Fax: (201) 330-4645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 26NR22095100 New Jersey
Nursing Service Providers / Case Management 163WC0400X 543566 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1962121251
LBN Legal business name Proctor, Kathy Ellarene Novella
Credentials MS, BSN, RN- CCM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2022
Last updated Feb 25th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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