Individual
PAMELA R GUIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, PMHNP, NP-PP
Contact information
Practice address
240 WEST TYRONE ROAD, OAK RIDGE, TN 37830
(865) 482-1076
(865) 481-6179
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(865) 482-1076
(865) 481-6179
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201607736NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3929832
MEDICARE
TN
01
—
4095658
BCBSOF TN
TN
01
—
P00156103
RAILROAD MEDICARE
TN
Enumeration date
10/16/2006
Last updated
03/07/2023
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