Individual
PAMELA A LUDWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19 LAKES STREET, NESPELEM, WA 99155-0071
(509) 634-2900
(509) 634-2990
Mailing address
19 LAKES STREET, NESPELEM, WA 99155-0071
(509) 634-2900
(509) 634-2990
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00045299
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7139660
—
WA
Enumeration date
06/23/2010
Last updated
06/23/2010
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