Individual
MRS. PAMELA GAIL TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.N., C.R.N.P.
Contact information
Practice address
162 TITAN DR, FLORENCE, AL 35630-1197
(256) 764-7888
(256) 760-1020
Mailing address
PO BOX 10005, FLORENCE, AL 35631-2005
(256) 764-7888
(256) 760-1020
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1-033395
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181855
—
AL
Enumeration date
10/10/2006
Last updated
09/27/2016
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