Individual
PAMELA L. PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
525 WESTERN AVE, SUITE 201, CONWAY, AR 72034-4967
(501) 327-6665
Mailing address
11 TRAFALGAR RD, CONWAY, AR 72034-7401
(870) 535-7457
(870) 535-2522
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3011308
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157650001
—
AR
01
—
5Y522
BCBS
AR
01
—
P00259329
RRMCR/PGBA
—
Enumeration date
08/18/2005
Last updated
08/17/2017
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