Individual
MRS. PAMELA SUSAN BARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
125 BUENA VISTA CIRCLE, CMH-VCU HEALTH, SOUTH HILL, VA 23919
(434) 447-3151
Mailing address
125 BUENA VISTA CIRCLE, CMH-VCU HEALTH, SOUTH HILL, VA 23919
(434) 447-3751
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024122829
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
460484
BLUE CROSS OF VA
VA
05
—
8945705
—
VA
Enumeration date
11/17/2005
Last updated
12/18/2024
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