Averett, Pamela Susan

Averett, Pamela Susan is an individual health care provider with primary practice located at 4370 W Main Street , Dothan AL 36305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Averett, Pamela Susan can be contacted via phone (334) 793-5000.

Contact Information

Primary practice address
4370 W Main Street Dothan AL 36305
Phone: (334) 793-5000
Fax: (334) 615-8419
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1041591 Alabama

Profile Details

NPI number 1407817331
LBN Legal business name Averett, Pamela Susan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407817331 NPPES
Other P00122062 RR MEDICARE
MEDICAID 1771431 RR MEDICARE
MEDICAID 08074564 RR MEDICARE
Other 51515757 RR MEDICARE

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