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Individual

PAMELA L. MCCLELLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2645 N 3RD ST, 3RD FLOOR, HARRISBURG, PA 17110-2001
(717) 782-4700
(717) 782-4710
Mailing address
118 WASHINGTON ST, HARRISBURG, PA 17104-1677

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN186947L
PA
176B00000X
Midwife
Primary
MW008087L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012201800008
PA
01
1528870
GATEWAY
PA
01
178686
UNISON
PA
01
50054247
BLUE CROSS/CAIC
PA
01
P00378476
RAILROAD MEDICARE
PA
Enumeration date
07/06/2006
Last updated
01/28/2011
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