Individual
PAMELA LONGMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-C
Contact information
Practice address
2500 HOSPITAL DR, MARTINSBURG, WV 25401-3402
(304) 264-1000
Mailing address
2500 HOSPITAL DR, MARTINSBURG, WV 25401-3402
(304) 264-1000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
58154
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9610016000
—
WV
Enumeration date
06/16/2005
Last updated
03/28/2016
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