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NPI Code Detail

MEDICARE: PAMELA PRICE NP

MEDICARE:   PAMELA  PRICE  NP
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
1363LF0000XFamily Nurse Practitioner0024169155VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001718077OTHERWVWV BCBS
21069586OTHERWVWV DWC
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346226636
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA PRICE NP
Provider Business Mailing Address
First Line : 1935 W MAIN ST
Second Line :
City : SALEM
State : VA
Zip : 24153-3109
Country : US
Telephone Number : 540-387-0441
Fax Number : 540-375-9189
Provider Business Practice Location Address
First Line : 1935 W MAIN ST
Second Line :
City : SALEM
State : VA
Zip : 24153-3109
Country : US
Telephone Number : 540-387-0441
Fax Number : 540-375-9189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 02/06/2019

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Directions to “ PAMELA PRICE NP” Practice Location

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