Individual
MRS. PAMELA DAWN RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 W MCCREIGHT AVE STE 110, SPRINGFIELD, OH 45504-1890
(937) 523-9940
(937) 523-9935
Mailing address
100 W MCCREIGHT AVE STE 110, SPRINGFIELD, OH 45504-1890
(937) 523-9940
(937) 523-9935
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0027563
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.0027563
OH
Other
Enumeration date
09/25/2020
Last updated
10/10/2024
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