Individual
H PAMELA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
320 W 10TH AVE, SUITE 100, KENNEWICK, WA 99336-6302
(506) 586-5860
Mailing address
7203 W DESCHUTES AVE, KENNEWICK, WA 99336-7777
(509) 737-1880
(509) 737-1879
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30001599
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9604703
—
WA
Enumeration date
05/26/2006
Last updated
07/12/2010
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