Green, Pamela Diane

Green, Pamela Diane is an individual health care provider with primary practice located at 225 Medical Center Dr Ste 201 , Paducah KY 42003-7907. 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. Green, Pamela Diane can be contacted via phone (270) 444-4250.

Contact Information

Primary practice address
225 Medical Center Dr Ste 201 Paducah KY 42003-7907
Phone: (270) 444-4250
Fax: (270) 444-4260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3004702 Kentucky

Profile Details

NPI number 1134291743
LBN Legal business name Green, Pamela Diane
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated May 1st, 2018 - about 7 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 1134291743 NPPES
Other CN0807 R.R.M.C.
MEDICAID 78015773 R.R.M.C.
Other K232280 R.R.M.C.

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