Individual
PAMELA JEANETTE NOLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-6000
Mailing address
113 RIDGEWOOD DR, NORTH SYRACUSE, NY 13212-3219
(315) 663-8929
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
692651
NY
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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