Individual
MRS. PAMELA GAYLE DICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CFNP
Contact information
Practice address
603 12TH AVE, HUNTINGTON, WV 25701-3221
(304) 522-6298
Mailing address
603 12TH AVENUE, HUNTINGTON, WV 25701
(304) 522-6298
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24311
WV
363LF0000X
Family Nurse Practitioner
APRN24311-FNP-BC
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161603000
—
WV
Enumeration date
01/30/2008
Last updated
11/12/2015
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