Provider Demographics
NPI:1740476670
Name:SLOPER, PAMELA J (RN)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:J
Last Name:SLOPER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1549
Mailing Address - Street 2:SEARHC/HAINES HEALTH CENTER
Mailing Address - City:HAINES
Mailing Address - State:AK
Mailing Address - Zip Code:99827-1549
Mailing Address - Country:US
Mailing Address - Phone:907-766-6367
Mailing Address - Fax:907-766-2504
Practice Address - Street 1:131 1ST AVE
Practice Address - Street 2:SEARHC/HAINES HEALTH CENTER
Practice Address - City:HAINES
Practice Address - State:AK
Practice Address - Zip Code:99827-1549
Practice Address - Country:US
Practice Address - Phone:907-766-6367
Practice Address - Fax:907-766-2504
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK18176163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse