Provider Demographics
NPI:1407850142
Name:ALVEY, PAMELA (APRN)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:ALVEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 VANTAGE PL
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-6801
Mailing Address - Country:US
Mailing Address - Phone:502-394-9459
Mailing Address - Fax:502-409-9662
Practice Address - Street 1:3903 VANTAGE PL
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-6801
Practice Address - Country:US
Practice Address - Phone:502-394-9459
Practice Address - Fax:888-959-2460
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3003569363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78006780AMedicaid
KY78006780AMedicaid
KY996402Medicare PIN