| Doctor Name: | MS. PAMELA J KONAKIS |
| NPI Number: | 1265778765 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 196768-3102 |
| Business Practice Address: | 377 N Fairgrounds Rd Price, UT - 845014241 |
| Business Phone Number: | 4356132200 |
| Business Fax Number: | 4356132201 |
| Mailing Address: | 377 N Fairgrounds Rd, P.o. Box 1437 PRICE |
| State: | UT |
| Postal Code: | 845014241 |
| Phone Number: | 4356132200 |
| Fax Number: | 4356132201 |
| NPI Enumeration Date: | 01/02/2013 |
| NPI Last Update Date: | 01/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 196768-3102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |