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Individual
PAMELA KEELEY CASSELL
Active
Individual
PAMELA KEELEY CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167984
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366687121
—
VA
01
—
MC12133
MEDICARE
—
01
—
P00679395
RR MEDICARE
—
Enumeration date
12/09/2008
Last updated
07/07/2020
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