Individual
PAMELLA SUE BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1200 PLEASANT ST, POWELL 206, DES MOINES, IA 50309-1406
(515) 241-5100
Mailing address
1200 PLEASANT ST, POWELL 206, DES MOINES, IA 50309-1406
(515) 241-5100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
110313
NE
363L00000X
Nurse Practitioner
Primary
A-050977
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110313
LICENSE
NE
05
—
1255390241
—
IA
01
—
P01353130
RR MEDICARE
IA
Enumeration date
03/20/2006
Last updated
10/15/2014
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