Provider Demographics
NPI:1710362140
Name:STAMPER-BAHLER, PAMELA SUZETTE (FNP-C)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:SUZETTE
Last Name:STAMPER-BAHLER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8350 ARBOR SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-5000
Mailing Address - Country:US
Mailing Address - Phone:513-346-3399
Mailing Address - Fax:513-229-8310
Practice Address - Street 1:8350 ARBOR SQUARE DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-5000
Practice Address - Country:US
Practice Address - Phone:513-346-3399
Practice Address - Fax:513-229-8310
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.16928-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily