Individual
PAMELA S MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8939
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143303-30
WI
363L00000X
Nurse Practitioner
Primary
5944-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124436118
—
WI
Enumeration date
07/23/2014
Last updated
08/25/2021
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