Provider Demographics
NPI:1265768915
Name:SCHUHMACHER, PAMELA J (RN, PEDS VENT/TRACH)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:J
Last Name:SCHUHMACHER
Suffix:
Gender:F
Credentials:RN, PEDS VENT/TRACH
Other - Prefix:MISS
Other - First Name:PAMELA
Other - Middle Name:J
Other - Last Name:WALTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:N8005 HWY A
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53038-9500
Mailing Address - Country:US
Mailing Address - Phone:920-988-2689
Mailing Address - Fax:
Practice Address - Street 1:N8005 HWY A
Practice Address - Street 2:
Practice Address - City:JOHNSON CREEK
Practice Address - State:WI
Practice Address - Zip Code:53038-9500
Practice Address - Country:US
Practice Address - Phone:920-988-2689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI168703-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health