Provider Demographics
NPI:1114333010
Name:BRABEC, PAMELA D (APRN-C)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:D
Last Name:BRABEC
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:66968-2029
Mailing Address - Country:US
Mailing Address - Phone:785-325-2240
Mailing Address - Fax:785-325-2277
Practice Address - Street 1:302 E 2ND ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:KS
Practice Address - Zip Code:66968-2029
Practice Address - Country:US
Practice Address - Phone:785-325-2240
Practice Address - Fax:785-325-2277
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-76418-071363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner