Provider Demographics
NPI:1790364537
Name:HUNEWILL, PAMELA (AEMT,)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:HUNEWILL
Suffix:
Gender:F
Credentials:AEMT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 SIERRA ST
Mailing Address - Street 2:
Mailing Address - City:YERINGTON
Mailing Address - State:NV
Mailing Address - Zip Code:89447-2634
Mailing Address - Country:US
Mailing Address - Phone:775-463-4756
Mailing Address - Fax:
Practice Address - Street 1:19 SIERRA ST
Practice Address - Street 2:
Practice Address - City:YERINGTON
Practice Address - State:NV
Practice Address - Zip Code:89447-2634
Practice Address - Country:US
Practice Address - Phone:775-463-4756
Practice Address - Fax:888-746-4048
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV40060-AL-06246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy