Individual
MS. PAMELA CLEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4506 1ST AVE, EVANSVILLE, IN 47710-3324
(812) 428-6161
(812) 421-2883
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 428-6161
(812) 421-2883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003898A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801149100
—
KY
Enumeration date
02/27/2006
Last updated
07/23/2013
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