Healthcare Provider Details

I. General information

NPI: 1346379732
Provider Name (Legal Business Name): PAMELA FRANKLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 DEATLEY RD
WEST UNION OH
45693-9708
US

IV. Provider business mailing address

131 DEATLEY RD
WEST UNION OH
45693-9708
US

V. Phone/Fax

Practice location:
  • Phone: 937-544-9863
  • Fax:
Mailing address:
  • Phone: 937-544-9863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number2513631
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: