Individual
PAMELA LOMELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
319 E MADISON ST STE 1F, SPRINGFIELD, IL 62701-3118
(217) 788-3948
(217) 527-3209
Mailing address
319 E MADISON ST STE 1F, SPRINGFIELD, IL 62701-3118
(217) 788-3948
(217) 527-3209
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.020921
IL
363LG0600X
Gerontology Nurse Practitioner
209.020921
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.427571
RN LICENSE
IL
Enumeration date
03/03/2020
Last updated
03/03/2020
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