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Individual

MS. PAMELA M PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
201 CEDAR ST SE STE 7600, PRESBYTERIAN HEART GROUP, ALBUQUERQUE, NM 87106-4921
(505) 563-2500
(505) 563-2599
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4321P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
70033838
NM
05
78013968
KS
Enumeration date
06/14/2006
Last updated
11/09/2015
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