Provider Demographics
NPI:1275270944
Name:BIHL, PAMELA SUE (APRN)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:SUE
Last Name:BIHL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:PAM
Other - Middle Name:
Other - Last Name:HAMILTON BONILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:2620 ELM HILL PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3100
Mailing Address - Country:US
Mailing Address - Phone:615-425-4200
Mailing Address - Fax:615-823-5572
Practice Address - Street 1:130 PAVILION PKWY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-2998
Practice Address - Country:US
Practice Address - Phone:859-652-7203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3017234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily