Kutzer, Pamela D.

Kutzer, Pamela D. is an individual health care provider with primary practice located at 100 South St , Southbridge MA 01550-4051. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Kutzer, Pamela D. can be contacted via phone (508) 765-9771.

Contact Information

Primary practice address
100 South St Southbridge MA 01550-4051
Phone: (508) 765-9771
Fax: (508) 764-2448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN223639 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN223639 Massachusetts

Profile Details

NPI number 1801860895
LBN Legal business name Kutzer, Pamela D.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Nov 2nd, 2015 - about 9 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 1801860895 NPPES
Massachusetts MEDICAID 0706728

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