| Doctor Name: | PAMELA D LOUDERBACK |
| NPI Number: | 1104932896 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP1095812 |
| Business Practice Address: | 700 6th Street South St. Petersburg, FL - 337014814 |
| Business Phone Number: | 9044463701 |
| Business Fax Number: | 8885079833 |
| Mailing Address: | 5220 Belfort Rd, Suite 130 JACKSONVILLE |
| State: | FL |
| Postal Code: | 322566017 |
| Phone Number: | 9044463701 |
| Fax Number: | 8885079833 |
| NPI Enumeration Date: | 08/22/2006 |
| NPI Last Update Date: | 01/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0000X |
| License Number: | ARNP1095812 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Wound Care |
| Taxonomy Definition: | |