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NPI Code Detail

MEDICARE: PAMELA FLINN RN

MEDICARE: PAMELA FLINN RN
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
1163WA0400XAddiction (Substance Use Disorder) Registered Nurse376199OH

General Provider Information

NPI Number : 1497219042
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA FLINN RN
Provider Business Mailing Address
First Line : 1590 COAL RUN RD
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-9167
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1590 COAL RUN RD
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-9167
Country : US
Telephone Number : 740-297-4417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2019
Last Update Date : 01/29/2019

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