| Doctor Name: | PAMELA BALCH MAES |
| NPI Number: | 1013918200 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | NPF4846 |
| Business Practice Address: | 5108 Hill Rd E Lakeport, CA - 954536300 |
| Business Phone Number: | 7072621840 |
| Business Fax Number: | 7072625844 |
| Mailing Address: | 3536 Mendocino Ave, Ste 200 SANTA ROSA |
| State: | CA |
| Postal Code: | 954033634 |
| Phone Number: | 7075256485 |
| Fax Number: | 7072625844 |
| NPI Enumeration Date: | 08/10/2005 |
| NPI Last Update Date: | 02/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NPF4846 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |