Bardwell, Pamela Susan

Bardwell, Pamela Susan is an individual health care provider with primary practice located at 125 Buena Vista Circle Cmh-Vcu Health, South Hill VA 23919. 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. Bardwell, Pamela Susan can be contacted via phone (434) 447-3151.

Contact Information

Primary practice address
125 Buena Vista Circle Cmh-Vcu Health South Hill VA 23919
Phone: (434) 447-3151
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024122829 Virginia

Profile Details

NPI number 1336121144
LBN Legal business name Bardwell, Pamela Susan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 21st, 2022 - about 2 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 1336121144 NPPES
Virginia MEDICAID 8945705
Virginia Other 460484

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