Provider Demographics
NPI:1265020226
Name:PERRY, PAMELA F
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:F
Last Name:PERRY
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:PO BOX 292
Mailing Address - Street 2:
Mailing Address - City:THE PLAINS
Mailing Address - State:OH
Mailing Address - Zip Code:45780-0292
Mailing Address - Country:US
Mailing Address - Phone:740-517-6291
Mailing Address - Fax:
Practice Address - Street 1:265 STATE ROUTE 681 S
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OH
Practice Address - Zip Code:45710-9466
Practice Address - Country:US
Practice Address - Phone:740-517-6291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide