Individual
MS. PAMELA JEANE SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
150 MISTY LN, PRINCETON, WV 24740-6462
(304) 425-4040
Mailing address
296 CARL J DR, BLUEFIELD, WV 24701-7347
(304) 809-4808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
120179
WV
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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