Individual
PAMELA J.W. NOURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
891 W MAIN ST, SUITE 700, DOVER FOXCROFT, ME 04426-1059
(207) 564-4466
(207) 564-4468
Mailing address
891 W MAIN ST, SUITE 700, DOVER FOXCROFT, ME 04426-1059
(207) 564-4466
(207) 564-4468
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14885
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HX3032
MEDICARE PTAN
ME
01
—
P00061427
RAILROAD MEDICARE
ME
Enumeration date
06/21/2006
Last updated
04/10/2008
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