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Physician Compare National (NPI:1821061250)

HEALTHCARE PROVIDER: PAMELA L. SISK APRN, BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1821061250
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0840230348
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20131122001473
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SISK
Individual professional last name
Provider First Name PAMELA
Individual professional first name
Provider Middle Name L
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text NP
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Individual professional's medical school
Graduation Year 1999
Individual professional's medical school graduation year
Primary Specialty CERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1200 NW S OUTER RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 301
Group Practice or individual's line 2 address
City BLUE SPRINGS
Group Practice or individual's city
State MO
Group Practice or individual's state
Zip Code 640153059
Group Practice or individual's zip code (9 digits when available)
Phone Number 8162860222
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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