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PAMELA PHARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1401 STEFFEN AVE, CINCINNATI, OH 45215-2338
(513) 588-3623
(513) 588-3649
Mailing address
1401 STEFFEN AVE, CINCINNATI, OH 45215-2338
(513) 588-3623
(513) 588-3649

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
NP 01325
OH
363LP0200X
Pediatric Nurse Practitioner
NP 01325
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
NP01325
OH
367A00000X
Advanced Practice Midwife
72000082A
IN
367A00000X
Advanced Practice Midwife
NM 06641
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200426210
IN
05
2451234
OH
Enumeration date
11/09/2005
Last updated
11/11/2021
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