Gardner-Davis, Pamela June

Gardner-Davis, Pamela June is an individual health care provider with primary practice located at 4825 S Laburnum Ave , Richmond VA 23231-2713. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Gardner-Davis, Pamela June can be contacted via phone (804) 222-2607.

Contact Information

Primary practice address
4825 S Laburnum Ave Richmond VA 23231-2713
Phone: (804) 222-2607
Fax: (804) 236-9118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 0001096960 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 0015000486 Virginia

Profile Details

NPI number 1447394184
LBN Legal business name Gardner-Davis, Pamela June
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Sep 26th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447394184 NPPES
Virginia Other 162856 ANTHEM

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