MS. PAMELA S. HAVERLY


Address: 8127 Tanager Ct, Indianapolis, IN 46256-1775
Phone: 3175948614

MS. PAMELA S. HAVERLY (NPI# 1861510976) 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) 1861510976
Entity Type Individual
Full Name MS. PAMELA S. HAVERLY
Credential R.N.,B.S.N.
Practice Address 8127 Tanager Ct
Indianapolis
IN 46256-1775
Mailing Address 8127 Tanager Court
Indianapolis
IN 46256-1775
Practice Telephone 3175948614
Mailing Telephone 3175948614
Enumeration Date 2007-03-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
28094896A IN Nursing Service Providers

Office Location

Street Address 8127 TANAGER CT
City INDIANAPOLIS
State IN
Zip Code 46256-1775

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City INDIANAPOLIS
Zip Code 46256

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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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