Individual
PAMELA RENEE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.-C.
Contact information
Practice address
533 HACKERS CREEK RD, JANE LEW, WV 26378-8394
(304) 884-8941
(304) 884-8943
Mailing address
533 HACKERS CREEK RD, JANE LEW, WV 26378-8394
(304) 884-8941
(304) 884-8943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
81015
WV
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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