MS. PAMELA RENEE GOVAN


Address: 11624 N 39th Ave, Phoenix, AZ 85029-3119
Phone: 6022431773

MS. PAMELA RENEE GOVAN (NPI# 1487056636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487056636
Entity Type Individual
Full Name MS. PAMELA RENEE GOVAN
Practice Address 11624 N 39th Ave
Phoenix
AZ 85029-3119
Practice Telephone 6022431773
Practice Fax Number 6022761984
Mailing Telephone 6022431773
Mailing Fax Number 6022761984
Enumeration Date 2014-09-18
Last Update Date 2014-09-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
12015 AZ Nursing Service Related Providers

Office Location

Street Address 11624 N 39TH AVE
City PHOENIX
State AZ
Zip Code 85029-3119

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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

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1487920476 Carma C Umpleby Technician 2642 E Willetta St, Phoenix, AZ 85008-4613 2012-03-24
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Competitor

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City PHOENIX
Zip Code 85029

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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