Individual
PAMELA RENAE FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
305 ESTILL ST, BEREA, KY 40403-1742
(859) 985-1415
Mailing address
1078 MAPLE GROVE SCHOOL RD, LONDON, KY 40744-8931
(606) 260-0174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4029192
KY
Other
Enumeration date
11/11/2024
Last updated
05/16/2025
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