| Doctor Name: | PAMELA L. BAHLER |
| NPI Number: | 1265542336 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | RN111259 |
| Business Practice Address: | Hwy 264 Mmp 388 Polacca, AZ - 86042 |
| Business Phone Number: | 9287376000 |
| Business Fax Number: | 9287376001 |
| Mailing Address: | Po Box 4000, POLACCA |
| State: | AZ |
| Postal Code: | 86042 |
| Phone Number: | 9287376000 |
| Fax Number: | 9287376001 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 10/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN111259 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |