| Doctor Name: | MRS. PAMELA R CHANEY |
| NPI Number: | 1023382843 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN CMEP |
| License Number: | 28113119A |
| Business Practice Address: | 611 E Douglas Rd Mishawaka, IN - 465451464 |
| Business Phone Number: | 5749683510 |
| Business Fax Number: | |
| Mailing Address: | 55753 Alverstone Dr W, MIDDLEBURY |
| State: | IN |
| Postal Code: | 465408305 |
| Phone Number: | 5748250949 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2012 |
| NPI Last Update Date: | 02/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0121X |
| License Number: | 28113119A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Plastic Surgery |
| Taxonomy Definition: | |