Individual
PAMELA MARIE RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTER NURSE
Contact information
Practice address
5015 22ND AVE, PHENIX CITY, AL 36867-1503
(912) 492-1919
Mailing address
5015 22ND AVE, PHENIX CITY, AL 36867-1503
(912) 492-1919
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1-122834
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811347727
CASE MANAGER
AL
05
—
272348040
—
AL
Enumeration date
01/12/2023
Last updated
01/12/2023
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