Individual
PAMELA A LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BC, ANP
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1688
(314) 525-1689
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1688
(314) 525-1689
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
085239
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425142502
—
MO
Enumeration date
10/12/2005
Last updated
03/14/2017
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