Individual
PAMELA ELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 HARRISON ST STE 212J, HOBOKEN, NJ 07030-6087
(201) 360-1240
Mailing address
24 SYCAMORE RD, BAYONNE, NJ 07002-2224
(201) 360-1240
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05254600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0501891
—
NJ
Enumeration date
05/03/2016
Last updated
05/03/2016
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