Basic Information
Provider Information
NPI: 1750750477
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUHN
FirstName: PAMELA
MiddleName: LORRAINE
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 945 BETHESDA DR STE 240
Address2:  
City: ZANESVILLE
State: OH
PostalCode: 437011880
CountryCode: US
TelephoneNumber: 7404545398
FaxNumber: 7404557580
Practice Location
Address1: 945 BETHESDA DR STE 240
Address2:  
City: ZANESVILLE
State: OH
PostalCode: 437011880
CountryCode: US
TelephoneNumber: 7404545398
FaxNumber: 7404557580
Other Information
ProviderEnumerationDate: 09/23/2015
LastUpdateDate: 09/23/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN.274366OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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