Provider Demographics
NPI:1144018573
Name:RENDA, PAMELA LYNN (CAREGIVER)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LYNN
Last Name:RENDA
Suffix:
Gender:F
Credentials:CAREGIVER
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:LYNN
Other - Last Name:RENDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CAREGIVER
Mailing Address - Street 1:1629 EVERETT AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44514-1019
Mailing Address - Country:US
Mailing Address - Phone:330-509-3494
Mailing Address - Fax:330-509-3494
Practice Address - Street 1:1629 EVERETT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44514-1019
Practice Address - Country:US
Practice Address - Phone:330-509-3494
Practice Address - Fax:330-788-6413
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty