Faille, Pamela Lynn

Faille, Pamela Lynn is an individual health care provider with primary practice located at 525 E 15Th St , Panama City FL 32405-5400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Faille, Pamela Lynn can be contacted via phone (850) 522-4485.

Contact Information

Primary practice address
525 E 15Th St Panama City FL 32405-5400
Phone: (850) 522-4485
Fax: (850) 522-4484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9488802 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 136994 Missouri

Profile Details

NPI number 1720009632
LBN Legal business name Faille, Pamela Lynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Dec 13th, 2018 - about 6 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 1720009632 NPPES
Florida MEDICAID 101360100

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