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NPI Code Detail

MEDICARE: MRS. PAMELA R MALUS RN

MEDICARE: MRS. PAMELA R MALUS 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
1171W00000XContractorRN3311952FL
2163W00000XRegistered NurseRN331855LPA

General Provider Information

NPI Number : 1508887837
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA R MALUS RN
Provider Business Mailing Address
First Line : 500 WALNUT ST
Second Line :
City : MCKEESPORT
State : PA
Zip : 15132-2801
Country : US
Telephone Number : 412-675-8533
Fax Number : 412-675-8920
Provider Business Practice Location Address
First Line : 500 WALNUT ST
Second Line :
City : MCKEESPORT
State : PA
Zip : 15132-2801
Country : US
Telephone Number : 412-675-8533
Fax Number : 412-675-8920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 02/04/2015

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