Individual
MRS. PAMELA A RISING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
121 ACUSHNET AVE, WORCESTER, MA 01606-1866
(508) 853-8334
(508) 853-8334
Mailing address
121 ACUSHNET AVE, WORCESTER, MA 01606-1866
(508) 853-8334
(508) 853-8334
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
62782
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0709069
PROVIDER NUMBER
MA
Enumeration date
02/27/2007
Last updated
07/08/2007
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