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Individual
PAMELA PHARES
Active
Individual
PAMELA PHARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
NP 01325
OH
363LP0200X
Pediatric Nurse Practitioner
NP 01325
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
NP01325
OH
367A00000X
Advanced Practice Midwife
72000082A
IN
367A00000X
Advanced Practice Midwife
NM 06641
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200426210
—
IN
05
—
2451234
—
OH
Enumeration date
11/09/2005
Last updated
11/11/2021
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