Individual
MS. PAMELA S. HAVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.,B.S.N.
Contact information
Practice address
8127 TANAGER CT, INDIANAPOLIS, IN 46256-1775
(317) 594-8614
Mailing address
8127 TANAGER COURT, INDIANAPOLIS, IN 46256-1775
(317) 594-8614
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28094896A
IN
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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