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NPI Code Detail

MEDICARE: PAMELA LYNN MCCOLLEY

MEDICARE: PAMELA LYNN MCCOLLEY
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
13747P1801XPersonal Care AttendantNE

General Provider Information

NPI Number : 1932910783
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA LYNN MCCOLLEY
Provider Business Mailing Address
First Line : 7033 GLENDALE AVE
Second Line :
City : OMAHA
State : NE
Zip : 68152-2044
Country : US
Telephone Number : 402-699-4402
Fax Number :
Provider Business Practice Location Address
First Line : 7033 GLENDALE AVE
Second Line :
City : OMAHA
State : NE
Zip : 68152-2044
Country : US
Telephone Number : 402-699-4402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2025
Last Update Date : 01/20/2025

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Directions to “ PAMELA LYNN MCCOLLEY ” Practice Location

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