Individual
PAMELA PIEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PNP
Contact information
Practice address
101 S NEWELL DRIVE, GAINESVILLE, FL 32611
(904) 244-3913
(904) 244-3870
Mailing address
PO BOX 100197, GAINESVILLE, FL 32610-0197
(904) 244-3913
(904) 244-3870
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1589572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000909774B
—
GA
05
—
3006565-00
—
FL
Enumeration date
11/23/2005
Last updated
11/06/2009
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