Provider Demographics
NPI:1073214664
Name:CAVALEAR, PAMELA K
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:K
Last Name:CAVALEAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 LUCIA CT
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-5068
Mailing Address - Country:US
Mailing Address - Phone:740-586-8512
Mailing Address - Fax:
Practice Address - Street 1:312 LUCIA CT
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-5068
Practice Address - Country:US
Practice Address - Phone:740-586-8512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant