Most Relevant Information
Provider Data
| NPI Number: | 1003016908 |
| Provider Name: | PAMELA STAKER MSN, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 20523 |
Most Important Dates
| Enumeration Date: | 07/19/2007 |
| Last Updated: | 01/10/2019 |
Provider Practice Location
109 BEE ST
CHARLESTON
SC
294015703
Practice Location Phone/Fax
| Phone: | 8435775011 |
| Fax: |
Provider Mailing Location
109 BEE ST
CHARLESTON
SC
294015703
Provider Mailing Phone/Fax
| Phone: | 8435775011 |
| Fax: |