Individual
MS. PAMALA SUE PELLON-IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP APRN BC
Contact information
Practice address
529 S PATTEN RD, PATTEN, ME 04765-3007
(866) 366-5842
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 992-2601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81229
ME
363LF0000X
Family Nurse Practitioner
R043787
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R043787
MAINE STATE BOARD OF NURS
ME
Enumeration date
10/19/2006
Last updated
07/06/2022
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