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PAMELA ANN WILLIS-BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 284-5155
(316) 284-5050
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-75166-072
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53-75166-072
KANSAS LICENSE
KS
Enumeration date
06/28/2005
Last updated
07/27/2015
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