Individual
PAMELA D FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(888) 282-0303
Mailing address
218 PATTON ST, MORGAN CITY, LA 70380-2427
(985) 300-3306
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN60529732
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTHER
OTHER
—
Enumeration date
12/02/2021
Last updated
12/02/2021
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