Provider Demographics
NPI:1972717320
Name:MEHARRY, PAMELA M (CNM)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:M
Last Name:MEHARRY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 RUSTENBURG GARDENS
Mailing Address - Street 2:3 ARCADIA RD
Mailing Address - City:RHONDEBOSCH
Mailing Address - State:CAPE TOWN
Mailing Address - Zip Code:7700
Mailing Address - Country:ZA
Mailing Address - Phone:021-686-2395
Mailing Address - Fax:
Practice Address - Street 1:28 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-3654
Practice Address - Country:US
Practice Address - Phone:860-358-6867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000374367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife