Himstedt, Pamela Kay

Himstedt, Pamela Kay is an individual health care provider with primary practice located at 3129 Blattner Dr , Cape Girardeau MO 63703-6364. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Diabetes Educator. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Himstedt, Pamela Kay can be contacted via phone (573) 335-0166.

Contact Information

Primary practice address
3129 Blattner Dr Cape Girardeau MO 63703-6364
Phone: (573) 335-0166
Fax: (573) 335-7942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 099824 Missouri
Nursing Service Providers / Diabetes Educator 163WD0400X 099824 Missouri

Profile Details

NPI number 1164690236
LBN Legal business name Himstedt, Pamela Kay
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2008
Last updated Feb 10th, 2023 - about 2 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 1164690236 NPPES
Missouri MEDICAID 425114907
Missouri Other P00607758

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