Individual
PAMELA S. VIPOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 JOHN DEERE RD BLDG 1, MOLINE, IL 61265-6898
(309) 517-3036
(309) 797-1088
Mailing address
400 JOHN DEERE RD BLDG 1, MOLINE, IL 61265-6898
(309) 517-3036
(309) 797-1088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041218923
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041218923
—
IL
05
—
0747303
—
IA
Enumeration date
09/14/2006
Last updated
06/23/2016
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