Provider Demographics
NPI:1831641885
Name:NELON, PAMELA CONRAD (RN)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:CONRAD
Last Name:NELON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 DARLING RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:ME
Mailing Address - Zip Code:04449-3535
Mailing Address - Country:US
Mailing Address - Phone:207-852-8261
Mailing Address - Fax:
Practice Address - Street 1:100 DARLING RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:ME
Practice Address - Zip Code:04449-3535
Practice Address - Country:US
Practice Address - Phone:207-852-8261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN33980163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse