Chrisco, Pamela J

Chrisco, Pamela J is an individual health care provider with primary practice located at 3400 Se Macy Rd 18, Bentonville AR 72712-7841. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chrisco, Pamela J can be contacted via phone (479) 845-0880.

Contact Information

Primary practice address
3400 Se Macy Rd 18 Bentonville AR 72712-7841
Phone: (479) 845-0880
Fax: (479) 845-8887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A01742 Arkansas

Profile Details

NPI number 1740291525
LBN Legal business name Chrisco, Pamela J
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jan 9th, 2016 - about 8 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 1740291525 NPPES
Arkansas MEDICAID 152203758

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