=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376828673
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MRS. PAMELA ANN CURRIER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/18/2011
-----------------------------------------------------
Last Update Date | 10/18/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 56669 29 PALMS HWY SUITE G
-----------------------------------------------------
City | YUCCA VALLEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92284-5234
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-365-3224
-----------------------------------------------------
Fax | 760-365-8324
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 44630 MONTEREY AVE SUITE 100
-----------------------------------------------------
City | PALM DESERT
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92260-3326
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-365-3224
-----------------------------------------------------
Fax | 760-365-8324
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237700000X
-----------------------------------------------------
Taxonomy Name | Hearing Instrument Specialist
-----------------------------------------------------
License Number | HA7266
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------