PAMELA A PROVOST APRN (Credential# 680400) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 18, 2004. The license expiration date date is June 30, 2005. The license status is INACTIVE.
PAMELA A PROVOST APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.002222. The credential type is advanced practice registered nurse. The effective date is June 18, 2004. The expiration date is June 30, 2005. The business address is 11270 Yarmouth Pl, Fishers, IN 46038. The current status is inactive.
| Licensee Name | PAMELA A PROVOST APRN |
| Credential ID | 680400 |
| Credential Number | 12.002222 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
11270 Yarmouth Pl Fishers IN 46038 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-01-12 |
| Effective Date | 2004-06-18 |
| Expiration Date | 2005-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 228042 | CSP.0029214 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-03-23 - 2005-02-28 | INACTIVE | |
| 566913 | 10.062903 | Registered Nurse | 2000-01-12 | 2002-07-24 - 2003-06-30 | INACTIVE |
| Street Address | 11270 YARMOUTH PL |
| City | FISHERS |
| State | IN |
| Zip Code | 46038 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susana Carol Wilson | 12235 Bubbling Brook Dr. Unit 600, Fishers, IN 46038 | Master's Level Social Worker - Temporary Permit | ~ |
| Brad D Kendall · Enterprise Electrical & Mechanical Co | 10939 Veon Drive, Fishers, IN 46038 | Plumbing & Piping Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
| Alexandra Ines Key | 13203 Parkside Dr., Fishers, IN 46038 | Registered Nurse | 2019-10-04 ~ 2020-09-30 |
| Carl E Bradway | 7702 Hidden Ridge, Fishers, IN 46038 | Professional Engineer | 2009-03-07 ~ 2010-01-31 |
| James W Renoe | 6389 Hillview Circle, Fishers, IN 46038 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
| Amber L Reeder | 10341 Morning Song Dr, Fishers, IN 46038 | Registered Nurse | 2014-07-01 ~ 2015-06-30 |
| Stephen M Jenkins · Farmington Antiques Weekend | 10503 Tremont Cir, Fishers, IN 46038 | Managing Itinerant Vendor | ~ |
| Gayla Wilson | 12772 Glengary Drive, Fishers, IN 46038 | Registered Nurse | 2009-03-18 ~ 2009-05-31 |
| Verna M Arnold | 11201 Guy St., Fishers, IN 46038 | Hairdresser/cosmetician | 2006-10-18 ~ 2008-12-31 |
| Dianna L Bennington | 11345 Teal Street, Fishers, IN 46038 | Registered Nurse | 1996-05-31 ~ 1997-06-30 |
| Find all Licenses in zip 46038 | |||
| City | FISHERS |
| Zip Code | 46038 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + FISHERS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela Peters Aprn | 4 Plymouth Rd, Darien, CT 06820 | Advanced Practice Registered Nurse | 2004-12-17 ~ 2006-01-31 |
| Pamela M Ferland Aprn | 86 Knox Ave, Danielson, CT 06239 | Advanced Practice Registered Nurse | 2014-12-01 ~ 2015-11-30 |
| Pamela D Yukna Aprn | 72 Deepwood Drive, Wolcott, CT 06716 | Advanced Practice Registered Nurse | 2019-03-01 ~ 2020-02-29 |
| Pamela B Collett-willey Aprn | 3903 61st Ave E, Bradenton, FL 34203 | Advanced Practice Registered Nurse | 2006-07-17 ~ 2007-06-30 |
| Pamela R Spear Aprn | 323 Upper Grassy Hill Rd, Woodbury, CT 06798-2528 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Holly Durstin Aprn | Po Box 208, Norfolk, CT 06058 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ann P Roselle Aprn | 48 Valley Rd, Bethany, CT 06524 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Wendy Sergeant Aprn | Po Box 964, Sturbridge, MA 01566-2964 | Advanced Practice Registered Nurse | 2008-05-22 ~ 2009-05-31 |
| Vanessa M Mix Aprn | 10 Salem Rd, Weston, CT 06883 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on PAMELA A PROVOST APRN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).