Provider Demographics
NPI:1619244779
Name:EVERS, PAMELA ANN (ADN)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:ANN
Last Name:EVERS
Suffix:
Gender:F
Credentials:ADN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-4846
Mailing Address - Country:US
Mailing Address - Phone:608-397-6899
Mailing Address - Fax:
Practice Address - Street 1:1335 MARKET ST
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-4846
Practice Address - Country:US
Practice Address - Phone:608-397-6899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI137531-30163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health