Individual
PAMELA ANN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1917 BONO RD, NEW ALBANY, IN 47150-4607
(812) 944-3017
Mailing address
1884 GUTFORD CT, CLARKSVILLE, IN 47129-9064
(812) 725-9630
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
28116135A
IN
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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