# PAMELA PHARES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619958436
- **Gender:** F
- **Credential:** CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | NP 01325 | OH | — |
| 363LP0200X | Pediatric Nurse Practitioner | NP 01325 | OH | — |
| 363LP2300X | Primary Care Nurse Practitioner | NP01325 | OH | Yes |
| 367A00000X | Advanced Practice Midwife | 72000082A | IN | — |
| 367A00000X | Advanced Practice Midwife | NM 06641 | OH | — |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 11/11/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200426210 | — | IN |
| 05 | — | 2451234 | — | OH |