Individual
TRISTEN AMBER PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8740
(276) 988-5941
Mailing address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8740
(276) 988-5941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004364
VA
363A00000X
Physician Assistant
54-0506332
VA
Other
Enumeration date
08/08/2013
Last updated
01/30/2019
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