Individual
PAMELA R. COURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
19205 N CONCHO CIR, SUN CITY, AZ 85373-1406
(509) 998-7697
Mailing address
19205 N CONCHO CIR, SUN CITY, AZ 85373-1406
(509) 998-7697
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
30007682
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9652710
—
WA
01
—
G000362000
MEDICARE GROUP
WA
01
—
P00416784
RR MEDICARE ID
WA
Enumeration date
12/11/2006
Last updated
12/01/2017
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