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Individual

PAMELA SMITH SHRIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN070543 AP01907
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1995380
LA
Enumeration date
07/28/2005
Last updated
10/25/2013
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