Provider Demographics
NPI:1992735146
Name:MUSICK, PAMELA A (RN)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:A
Last Name:MUSICK
Suffix:
Gender:F
Credentials:RN
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2345
Mailing Address - Street 2:PROFESSIONAL ENDOCRINOLOGY ASSOC PLLC
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25328-2345
Mailing Address - Country:US
Mailing Address - Phone:304-720-1963
Mailing Address - Fax:304-720-1966
Practice Address - Street 1:331 LAIDLEY ST SUITE 201
Practice Address - Street 2:PROFESSIONAL ENDOCRINOLOGY ASSOC PLLC
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25328-2345
Practice Address - Country:US
Practice Address - Phone:304-720-1963
Practice Address - Fax:304-720-1966
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV047608163W00000X, 163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator