Individual
MS. PAMELA JEANNE NICODEMUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, APRN, BC
Contact information
Practice address
308 SENECA ST, OIL CITY, PA 16301-1378
(814) 676-8285
(814) 676-3382
Mailing address
308 SENECA ST, OIL CITY, PA 16301-1378
(814) 676-8285
(814) 676-3382
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN179624L
PA
Other
Enumeration date
12/13/2005
Last updated
07/08/2007
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