Individual
PAMELA MARIE BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
355 W 16TH ST STE 5100, INDIANAPOLIS, IN 46202
(317) 963-1300
(317) 222-2012
Mailing address
355 W 16TH ST STE 5100, INDIANAPOLIS, IN 46202-2274
(317) 963-1300
(317) 222-2012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28155886A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005732A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201345730
—
IN
Enumeration date
03/02/2015
Last updated
05/17/2025
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