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NPI Code Detail

MEDICARE: MS. PAMELA ANN FAUST RN.BSN,CNOR,RNFA

MEDICARE: MS. PAMELA ANN FAUST RN.BSN,CNOR,RNFA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0121XPlastic Surgery Registered Nurse3024712FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y1284OTHERFLBCBS

General Provider Information

NPI Number : 1295770030
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAMELA ANN FAUST RN.BSN,CNOR,RNFA
Provider Business Mailing Address
First Line : PO BOX 1314
Second Line :
City : OCKLAWAHA
State : FL
Zip : 32183-1314
Country : US
Telephone Number : 352-362-1130
Fax Number :
Provider Business Practice Location Address
First Line : 3320 SW 34TH CIR
Second Line :
City : OCALA
State : FL
Zip : 34474-3371
Country : US
Telephone Number : 352-629-8154
Fax Number : 352-629-5231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 07/08/2007

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