Individual
MRS. PAMELA B. EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, FNP-C, CDE
Contact information
Practice address
1116 W 21ST AVE., COVINGTON, LA 70433-7407
(985) 892-3031
(985) 892-9504
Mailing address
190 EAGLE RD, COVINGTON, LA 70435-9426
(985) 898-0770
(985) 898-0770
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
39110 2195
LA
363LF0000X
Family Nurse Practitioner
Primary
39110 2195
LA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
39110 2195
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1547255
—
LA
Enumeration date
06/02/2007
Last updated
04/11/2011
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