Provider Demographics
NPI:1801945134
Name:SUVER, PAMELA SUE (FNP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:SUE
Last Name:SUVER
Suffix:
Gender:F
Credentials:FNP
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 188
Mailing Address - Street 2:HOPEWELL HEALTH CENTERS, INC.
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-0188
Mailing Address - Country:US
Mailing Address - Phone:740-773-4366
Mailing Address - Fax:740-775-7855
Practice Address - Street 1:2541 PANTHER DRIVE
Practice Address - Street 2:
Practice Address - City:NEW LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:43764-1033
Practice Address - Country:US
Practice Address - Phone:740-342-4192
Practice Address - Fax:740-342-4045
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP08697363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2742214Medicaid
OH2029526Medicare PIN