Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Andrew Joseph Proctor

Individual provider Certified Registered Nurse Anesthetist · NPI 1952841637

Mr. Andrew Joseph Proctor is a Certified Registered Nurse Anesthetist (CRNA) in Canton, Michigan. Qualified in 2016, 10 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2017

Practice location Address checks out

800 Pheasant Woods Dr
Canton, MI 48188-5224
Phone: (734) 812-1311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704267973 (MI)

Record details

NPI number1952841637
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2017
Last updated in NPPESMarch 1, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare