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NPI Code Detail

MEDICARE: PAMELA GAENG

MEDICARE: PAMELA GAENG
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 PractitionerSP026107PA

General Provider Information

NPI Number : 1548998826
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA GAENG
Provider Business Mailing Address
First Line : 262 WELL RD
Second Line :
City : GREELEY
State : PA
Zip : 18425-9752
Country : US
Telephone Number : 570-470-2608
Fax Number :
Provider Business Practice Location Address
First Line : 750 ROUTE 739
Second Line :
City : LORDS VALLEY
State : PA
Zip : 18428-6058
Country : US
Telephone Number : 570-775-7100
Fax Number : 570-775-0950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2022
Last Update Date : 08/16/2024

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Directions to “ PAMELA GAENG ” Practice Location

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