Individual
PAMELA FAYE VAN MOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6 ABILENE CT, MADISON, WI 53719-2455
(608) 772-6877
Mailing address
6 ABILENE CT, MADISON, WI 53719-2455
(608) 772-6877
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
146643
WI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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