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PAMELA DEMETRICE ALLEN CRNA

Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered

Provider NPI: 1740471812

Provider Information:
 PAMELA DEMETRICE ALLEN CRNA
Gender: F
Not Sole Proprietor

Practice Location:
655 W 8TH ST UFJAX - ANESTHESIOLOGY DEPT JACKSONVILLE, FL 32209-6511 US
Tel: 904-244-4195  Fax: 904-244-4908

Business Mailing Address:
PO BOX 44008 UFJP - PROVIDER ENROLLMENT JACKSONVILLE, FL 32231-4008 US
Tel: 904-244-3199  Fax: 904-244-3425

NPI Information:
NPI: 1740471812
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
FLARNP9205766

Other Provider Identifiers:

IssuerNumberStateType
3085414-00FL05
204136524CGA05
204136524AGA05
BLUE CROSSG4346FL01



American Medical Association 2012 taxonomy code information

Code: 367500000X

Type:

Classification:



Definition:



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