Doctor Name: | MS. PAMELA H LIST |
NPI Number: | 1023104270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 110213 |
Business Practice Address: | 500 East Decatur West Point, NE - 687881566 |
Business Phone Number: | 4023722477 |
Business Fax Number: | 4023726770 |
Mailing Address: | 500 East Decatur, WEST POINT |
State: | NE |
Postal Code: | 687881566 |
Phone Number: | 4023722477 |
Fax Number: | 4023726770 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 02/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 110213 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |