Individual
PAMELA KAY HIMSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3129 BLATTNER DR, CAPE GIRARDEAU, MO 63703-6364
(573) 335-0166
(573) 335-7942
Mailing address
3129 BLATTNER DR, CAPE GIRARDEAU, MO 63703-6364
(573) 335-0166
(573) 335-7942
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
099824
MO
363LF0000X
Family Nurse Practitioner
Primary
099824
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425114907
—
MO
01
—
P00607758
RR MCR
MO
Enumeration date
02/12/2008
Last updated
02/10/2023
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