Individual
MS. PAMELA H LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 EAST DECATUR, WEST POINT, NE 68788-1566
(402) 372-2477
(402) 372-6770
Mailing address
500 EAST DECATUR, WEST POINT, NE 68788-1566
(402) 372-2477
(402) 372-6770
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
110213
NE
363LP2300X
Primary Care Nurse Practitioner
110213
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250862
MIDLANDS CHOICE
NE
01
—
D03616
BCBS OF NEBRASKA
NE
Enumeration date
10/05/2006
Last updated
11/20/2020
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