Individual
PAMELA TRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
303 MED TECH PKWY, SUITE 100, JOHNSON CITY, TN 37604-2391
(423) 282-5611
(423) 282-5712
Mailing address
303 MED TECH PKWY, SUITE 100, JOHNSON CITY, TN 37604-2391
(423) 282-5611
(423) 282-5712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14829
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521554
—
TN
Enumeration date
03/09/2010
Last updated
11/19/2017
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