Smith, Pamela Denise

Smith, Pamela Denise is an sole proprietor health care provider with primary practice located at 4100 N Wickham Rd Unit 107A-334 , Melbourne FL 32935-2485. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Smith, Pamela Denise can be contacted via phone (757) 644-9980.

Contact Information

Primary practice address
4100 N Wickham Rd Unit 107A-334 Melbourne FL 32935-2485
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 11032874 Florida

Profile Details

NPI number 1386493526
LBN Legal business name Smith, Pamela Denise
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2024
Last updated May 17th, 2024 - about 4 months 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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