Individual
PAMELA KAYE SHADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
30 E APPLE ST STE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Mailing address
30 E APPLE ST STE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Taxonomy
Speciality
Code
Description
License number
State
364SN0800X
Neuroscience Clinical Nurse Specialist
Primary
APRN.CNS.02175
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095580
—
OH
Enumeration date
05/08/2007
Last updated
10/30/2018
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