| Doctor Name: | MS. PAMELA JAN TILARO |
| NPI Number: | 1538238506 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | NP632-A |
| Business Practice Address: | 8500 N. Atlas Rd Hayden, ID - 838358332 |
| Business Phone Number: | 2084155243 |
| Business Fax Number: | 2084155101 |
| Mailing Address: | 2411 S Boulder Ln, GREENACRES |
| State: | WA |
| Postal Code: | 990168587 |
| Phone Number: | 5099266730 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 01/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | NP632-A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |