Doctor Name: | MS. PAMELA S MUCHA |
NPI Number: | 1174635429 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.R.N.P. |
License Number: | R069188 |
Business Practice Address: | 9 Schilling Rd Hunt Valley, MD - 210311191 |
Business Phone Number: | 4107719220 |
Business Fax Number: | |
Mailing Address: | Po Box 631568, BALTIMORE |
State: | MD |
Postal Code: | 212631568 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 08/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R069188 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |