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Individual
MS. PAMELA M. ELLIOTT
Active
Individual
MS. PAMELA M. ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
506095
NY
363LF0000X
Family Nurse Practitioner
Primary
338936
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04534887
—
NY
Enumeration date
06/28/2007
Last updated
11/30/2018
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