Sisk, Pamela L.
Sisk, Pamela L. is an individual health care provider with primary practice located at 1200 Nw South Outer Rd Ste 301, Blue Springs MO 64015-3059. She recently has 3 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, Child & Adolescent. Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent is her primary health care specialty. Sisk, Pamela L. can be contacted via phone (816) 795-1881.Contact Information
Primary practice address
1200 Nw South Outer Rd Ste 301
Blue Springs MO 64015-3059
Phone: (816) 795-1881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 131115 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 131115 | Missouri |
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | 131115 | Missouri |
Profile Details
| NPI number | 1821061250 |
|---|---|
| LBN Legal business name | Sisk, Pamela L. |
| Credentials | APRN, BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Sep 1st, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821061250 | NPPES |
| Missouri | MEDICAID | 423952514 |
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