Individual
MS. PAMELA CHARLENE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
949 N 9TH ST, HEALTH SERVICES UNIT, MILWAUKEE, WI 53233-1422
(414) 226-7136
(414) 226-7159
Mailing address
4059 N 23RD ST, MILWAUKEE, WI 53209-6601
(414) 445-7071
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
72997-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12610501
CAQH
WI
Enumeration date
02/14/2007
Last updated
01/29/2014
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