Individual
PAMELA JEAN EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP-A MSN
Contact information
Practice address
4202 GREEN VALLEY ROAD, MONROVIA, MD 21770
(301) 865-4484
(240) 720-0360
Mailing address
4202 GREEN VALLEY ROAD, MONROVIA, MD 21770
(301) 865-4484
(240) 720-0360
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R050640
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4043448-00
—
MD
01
—
R050640
NURSE PRACTITIONER
MD
Enumeration date
07/07/2005
Last updated
03/07/2023
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