Provider Demographics
NPI:1053646992
Name:FERLAND, PAMELA MACKLIN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:MACKLIN
Last Name:FERLAND
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 HARTFORD PIKE
Mailing Address - Street 2:
Mailing Address - City:DAYVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06241-2159
Mailing Address - Country:US
Mailing Address - Phone:860-779-0867
Mailing Address - Fax:860-779-0386
Practice Address - Street 1:612 HARTFORD PIKE
Practice Address - Street 2:
Practice Address - City:DAYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06241-2159
Practice Address - Country:US
Practice Address - Phone:860-779-0867
Practice Address - Fax:860-779-0386
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001327363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health