Individual
MRS. PAMELA HEVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
25 MYERS CORNER DR, STAUNTON, VA 24401-6342
(540) 688-2646
(540) 688-2656
Mailing address
25 MYERS CORNER DR, STAUNTON, VA 24401-6342
(540) 688-2646
(540) 688-2656
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0017139355
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548408529
—
VA
Enumeration date
01/28/2009
Last updated
09/07/2023
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