Provider Demographics
NPI:1932233749
Name:SPEED, PAMELA RUTH (APN)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:RUTH
Last Name:SPEED
Suffix:
Gender:F
Credentials:APN
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Mailing Address - Street 1:30 BURTON HILLS BLVD
Mailing Address - Street 2:STE 175
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-6403
Mailing Address - Country:US
Mailing Address - Phone:615-864-8703
Mailing Address - Fax:615-523-0647
Practice Address - Street 1:106 S 7TH ST
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543-3715
Practice Address - Country:US
Practice Address - Phone:501-362-7538
Practice Address - Fax:501-362-7143
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2016-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARA01068363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily