1770933293 NPI number — MISS PAMELA SUE CABER FNP

Table of content: MISS PAMELA SUE CABER FNP (NPI 1770933293)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770933293 NPI number — MISS PAMELA SUE CABER FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CABER
Provider First Name:
PAMELA
Provider Middle Name:
SUE
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCCLELLAN
Provider Other First Name:
PAMELA
Provider Other Middle Name:
SUE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1770933293
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/15/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
908 N 6TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELLWOOD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16617-1006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-327-6228
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
620 HOWARD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALTOONA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16601-4804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-889-2104
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WC0200X , with the licence number:  RN546629 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)