| Doctor Name: | MRS. PAMELA STAKER |
| NPI Number: | 1003016908 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | 0024165820 |
| Business Practice Address: | National Institutes Of Health Bldg 10 Crc 4-5350 10 Center Drive Msc 1474 Bethesda, MD - 208920001 |
| Business Phone Number: | 7038649234 |
| Business Fax Number: | |
| Mailing Address: | 6282 Walkers Croft Way, ALEXANDRIA |
| State: | VA |
| Postal Code: | 223155230 |
| Phone Number: | 7038649234 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2007 |
| NPI Last Update Date: | 07/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024165820 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |