Provider Demographics
NPI:1134267560
Name:DRYSDALE, PAMELLA PATRICIA (RN)
Entity type:Individual
Prefix:MRS
First Name:PAMELLA
Middle Name:PATRICIA
Last Name:DRYSDALE
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:3600 DARNALL LOOP
Mailing Address - Street 2:CARL R. DARNALL ARMY MEDICAL CENTER
Mailing Address - City:FT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:254-287-6789
Mailing Address - Fax:254-288-9383
Practice Address - Street 1:4704 MESA DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-8411
Practice Address - Country:US
Practice Address - Phone:254-287-6789
Practice Address - Fax:254-288-9383
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY493101-1163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health