Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHY ELLARENE NOVELLA PROCTOR, MS, BSN, RN- CCM

Active Sole Proprietor

KATHY ELLARENE NOVELLA PROCTOR, MS, BSN, RN- CCM is a Nutrition, Education healthcare provider located in DUMONT, New Jersey. NPI 1962121251 is currently active in the NPPES registry. Verify at CMS.

Nutrition, Education · DUMONT, NJ

Registration Details

NPI Number: 1962121251
Provider Type: Individual
Gender: Female
NPI Issued: Aug 22, 2022 (4.0006334721042 yrs)
Last Updated: Feb 25, 2024
Licenses: 26NR22095100 (NJ)

543566 (NY)
Sole Proprietor: Yes

Practice Information

Address: 182 E LINDEN AVE

DUMONT, NJ, 076281916
Browse NJ providers · Browse ZIP 07628
Phone: 6464013115
Fax: 2013304645
Primary Specialty: Nutrition, Education
133NN1002X
Additional Specialty: Case Management Nurse
Additional Specialty: Student (Health Education/Training)
Additional Specialty: Nutrition, Education

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.