Provider Demographics
NPI:1427039346
Name:COMBS, PAMELA (RN MSN BC ANP CDE)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:COMBS
Suffix:
Gender:F
Credentials:RN MSN BC ANP CDE
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6935 TREELINE DR
Mailing Address - Street 2:SUITE J
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-3393
Mailing Address - Country:US
Mailing Address - Phone:440-746-2220
Mailing Address - Fax:440-746-3496
Practice Address - Street 1:2351 E 22ND ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-3111
Practice Address - Country:US
Practice Address - Phone:216-363-2770
Practice Address - Fax:216-363-3304
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHRN214420363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
S79101Medicare UPIN