Pamela Fields Nurse Practitioner Pa

NPI 1053454868 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1053454868
Enumeration Date 02/14/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PAMELA K PAMELA
Position PRESIDENT
Phone (208) 344-6080
Fax (208) 323-9070
Practice Location
222 N 2ND ST
SUITE 202
BOISE ID, 83702-6109, US
Phone (208) 344-6080
Fax (208) 323-9070
Business Location
PO BOX 16820
BOISE ID, 83715-6820, US
Phone (208) 344-6080
Fax (208) 323-9070
Toxanomy
Taxonomy Code 363LF0000X
License State
License Number
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According to our database, Pamela Fields Nurse Practitioner Pa NPI is 1053454868, taxonomy code is 363LF0000X Pamela Fields Nurse Practitioner Pa physically located at 222 N 2nd St, Boise ID, 83702-6109. NPI Number 1033115704 has the healthcare provider type.

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1053454868 NPI number is provided on an as is basis without warranty of any kind. 1053454868 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela Fields Nurse Practitioner Pa are for informational purposes only.