Individual
ANNABEL ERICA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-9072
(573) 884-4892
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021050357
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1172452
NCCPA
—
01
—
2019022610
MISSOURI BOARD OF NURSING
MO
Enumeration date
11/05/2021
Last updated
07/18/2023
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