Individual
MRS. PAMELA TINA PAYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1380 DUBLIN RD, COLUMBUS, OH 43215-1025
(614) 488-7117
(614) 488-7118
Mailing address
1380 DUBLIN RD, COLUMBUS, OH 43215-1025
(740) 488-7117
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
387015
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263260689
—
OH
Enumeration date
12/16/2021
Last updated
12/16/2021
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