Provider Demographics
NPI:1295933869
Name:BYS, PAMELA MARIE (RN, BSN,,LAC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:MARIE
Last Name:BYS
Suffix:
Gender:F
Credentials:RN, BSN,,LAC
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:54 SHADOW LN
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431
Mailing Address - Country:US
Mailing Address - Phone:603-369-7965
Mailing Address - Fax:603-903-0185
Practice Address - Street 1:800 PARK AVE
Practice Address - Street 2:SUITE 114
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431
Practice Address - Country:US
Practice Address - Phone:603-369-7965
Practice Address - Fax:603-903-0185
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5396734-1201171100000X
NH196171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist