Individual
PAMELA SUE CHUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3432
(574) 296-6590
Mailing address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3432
(574) 296-6590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28133607A
IN
363L00000X
Nurse Practitioner
Primary
71006287A
IN
Other
Enumeration date
04/11/2016
Last updated
06/29/2016
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