Charboneau, Pamela Sue
Charboneau, Pamela Sue is an individual health care provider with primary practice located at 1802 Yakima Ave Ste 204, Tacoma WA 98405-4499. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Charboneau, Pamela Sue can be contacted via phone (253) 383-3325.Contact Information
Primary practice address
1802 Yakima Ave Ste 204
Tacoma WA 98405-4499
Phone: (253) 383-3325
Fax: (253) 572-7875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP3007734 | Washington |
Profile Details
| NPI number | 1861692170 |
|---|---|
| LBN Legal business name | Charboneau, Pamela Sue |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2007 |
| Last updated | Mar 30th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861692170 | NPPES |
| Washington | Other | 0289066 | STATE L&I |
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