Individual
PAMELA A IAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
267 GRANT ST, BRIDGEPORT HOSPITAL, BRIDGEPORT, CT 06610-2805
(203) 384-3840
(203) 330-7497
Mailing address
PO BOX 415126, BOSTON, MA 02241-5126
(203) 384-3975
(203) 384-3829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E40884
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
001353
CT
Other
Enumeration date
11/15/2005
Last updated
03/19/2010
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