Individual
PAMELA SHALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNP
Contact information
Practice address
6123 MONTROSE RD, ROCKVILLE, MD 20852-4860
(301) 816-2676
(301) 816-2628
Mailing address
6123 MONTROSE RD, ROCKVILLE, MD 20852-4860
(301) 816-2676
(301) 816-2628
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R117774
MD
363LF0000X
Family Nurse Practitioner
RN60369
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R117774
LICENSE
MD
01
—
RN60369
LICENSE
DC
Enumeration date
05/08/2014
Last updated
05/08/2014
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