Provider Demographics
NPI:1902088016
Name:NEMER, PAM (RN)
Entity type:Individual
Prefix:MRS
First Name:PAM
Middle Name:
Last Name:NEMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7177 MAGNOLIA LN
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-4421
Mailing Address - Country:US
Mailing Address - Phone:248-535-2571
Mailing Address - Fax:
Practice Address - Street 1:7177 MAGNOLIA LN
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-4421
Practice Address - Country:US
Practice Address - Phone:248-535-2571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704173322163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)