Provider Demographics
NPI:1295366805
Name:MCLAUGHLIN, PAMELA ANN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:ANN
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:ANN
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:3044 BEAL ST
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-2462
Mailing Address - Country:US
Mailing Address - Phone:253-722-4238
Mailing Address - Fax:
Practice Address - Street 1:3044 BEAL ST
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-2462
Practice Address - Country:US
Practice Address - Phone:253-722-4238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-01
Last Update Date:2020-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9177339163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care MedicineGroup - Single Specialty