| Doctor Name: | MS. PAMELA CARPENTER |
| NPI Number: | 1184023764 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | RN264413 |
| Business Practice Address: | 24 W Main St Northborough, MA - 015321910 |
| Business Phone Number: | 5083936027 |
| Business Fax Number: | |
| Mailing Address: | Po Box 433, NORTHBOROUGH |
| State: | MA |
| Postal Code: | 015320433 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2014 |
| NPI Last Update Date: | 09/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN264413 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |