Provider Demographics
NPI:1992099097
Name:CARVER, PAMELA EDGEWORTH (CRNP)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:EDGEWORTH
Last Name:CARVER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1530 3RD AVE S
Mailing Address - Street 2:SCHOOL OF NURSING LRC 381
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-1210
Mailing Address - Country:US
Mailing Address - Phone:205-934-7549
Mailing Address - Fax:205-975-2501
Practice Address - Street 1:2801 HIGHWAY 280 S
Practice Address - Street 2:PROTECTIVE LIFE PROHEALTH
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35223-2490
Practice Address - Country:US
Practice Address - Phone:205-268-3265
Practice Address - Fax:205-268-6605
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-109633363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health