Healthcare Provider Details

I. General information

NPI: 1801945134
Provider Name (Legal Business Name): PAMELA SUE SUVER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 188
CHILLICOTHEE OH
45601-0188
US

IV. Provider business mailing address

PO BOX 188 FAMILY URGENT CARE
CHILLICOTHEE OH
45601-0188
US

V. Phone/Fax

Practice location:
  • Phone: 740-496-2480
  • Fax: 740-496-2481
Mailing address:
  • Phone: 740-496-2480
  • Fax: 740-496-2481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP08697
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: