Doctor Name: | DR. PAMELA MARY NORTH |
NPI Number: | 1053551796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 29912 |
Business Practice Address: | 3550 Lexington Ave N Suite # 300a Shoreview, MN - 551268075 |
Business Phone Number: | 6512957448 |
Business Fax Number: | |
Mailing Address: | 3550 Lexington Ave N, Suite # 300a SHOREVIEW |
State: | MN |
Postal Code: | 551268075 |
Phone Number: | 6512957448 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2009 |
NPI Last Update Date: | 06/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | 29912 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |