Individual
MRS. PAMELA J GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS FNP
Contact information
Practice address
120 W MAIN STREET, ELMWOOD, IL 61529
(309) 742-2921
(309) 742-8411
Mailing address
PO BOX 680, 120 W MAIN STREET, ELMWOOD, IL 61529
(309) 742-2921
(309) 742-8411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209006839
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7200613
BLUE CROSS BLUE SHIELD
IN
Enumeration date
12/03/2007
Last updated
09/29/2010
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