Individual
MRS. PAMELA R CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CMEP
Contact information
Practice address
611 E DOUGLAS RD, MISHAWAKA, IN 46545-1464
(574) 968-3510
Mailing address
55753 ALVERSTONE DR W, MIDDLEBURY, IN 46540-8305
(574) 825-0949
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
28113119A
IN
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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