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Individual
PAMELA PRICE
Active
Individual
PAMELA PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169155
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718077
WV BCBS
WV
01
—
1069586
WV DWC
WV
05
—
3810001608
—
WV
Enumeration date
12/19/2005
Last updated
02/06/2019
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