Doctor Name: | PAM SPENS |
NPI Number: | 1104071752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | AP60182471 |
Business Practice Address: | 1125 Se Washington St Pullman, WA - 991640001 |
Business Phone Number: | 5093355315 |
Business Fax Number: | |
Mailing Address: | Po Box 642302, PULLMAN |
State: | WA |
Postal Code: | 991642302 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/24/2008 |
NPI Last Update Date: | 03/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | AP60182471 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |