| Doctor Name: | PAMELA DIANE ROUSE |
| NPI Number: | 1003906272 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN281575 |
| Business Practice Address: | 12500 Bruceville Road Elk Grove, CA - 95757 |
| Business Phone Number: | 9168741866 |
| Business Fax Number: | 9168741926 |
| Mailing Address: | 1726 3rd Ave, SACRAMENTO |
| State: | CA |
| Postal Code: | 958183024 |
| Phone Number: | 9164420327 |
| Fax Number: | 9168741926 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | RN281575 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |