Provider Demographics
NPI:1902415946
Name:THIGPEN, PAMELA M (CD(DONA))
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:M
Last Name:THIGPEN
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8607 SHIPWATCH DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-3535
Mailing Address - Country:US
Mailing Address - Phone:910-232-8930
Mailing Address - Fax:
Practice Address - Street 1:8607 SHIPWATCH DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-3535
Practice Address - Country:US
Practice Address - Phone:910-232-8930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
13882374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula