Vandermark, Pamela

Vandermark, Pamela is an individual health care provider with primary practice located at 2451 Intelliplex Dr Ste 260 , Shelbyville IN 46176-8580. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Vandermark, Pamela can be contacted via phone (317) 398-0121.

Contact Information

Primary practice address
2451 Intelliplex Dr Ste 260 Shelbyville IN 46176-8580
Phone: (317) 398-0121
Fax: (317) 398-0538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28154814A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71003764A Indiana

Profile Details

NPI number 1740557610
LBN Legal business name Vandermark, Pamela
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2011
Last updated Sep 10th, 2020 - about 6 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 1740557610 NPPES
Indiana MEDICAID 201042790

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