Individual
PAMELA SUE EARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(423) 361-4818
Mailing address
713 NEW BEASON WELL RD, KINGSPORT, TN 37660-2805
(423) 361-4818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
74451
TN
363LF0000X
Family Nurse Practitioner
Primary
19263
TN
Other
Enumeration date
07/11/2014
Last updated
09/12/2020
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