Provider Demographics
NPI:1508146523
Name:KELLER-ARLEDGE, PAMELA SUE (NP)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:SUE
Last Name:KELLER-ARLEDGE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1001 SAM PERRY BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4453
Mailing Address - Country:US
Mailing Address - Phone:540-741-2675
Mailing Address - Fax:540-741-7692
Practice Address - Street 1:611 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-8402
Practice Address - Country:US
Practice Address - Phone:540-371-4141
Practice Address - Fax:540-371-1990
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2016-07-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0001150149163W00000X
VA0024169540363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse