Basic Information
Provider Information
NPI: 1649452574
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OGRABISZ
FirstName: PAMELA
MiddleName: HEROD
NamePrefix: MRS.
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 600 GRESHAM DR
Address2: 4TH FLOOR, SENTARA HEART HOSPITAL, ARM ONE
City: NORFOLK
State: VA
PostalCode: 235071904
CountryCode: US
TelephoneNumber: 7573883000
FaxNumber: 7573888053
Practice Location
Address1: 600 GRESHAM DR
Address2: 4TH FLOOR, SENTARA HEART HOSPITAL, ARM ONE
City: NORFOLK
State: VA
PostalCode: 235071904
CountryCode: US
TelephoneNumber: 7573883000
FaxNumber: 7573888053
Other Information
ProviderEnumerationDate: 12/03/2007
LastUpdateDate: 12/03/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X0024165114VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home