Most Relevant Information
Provider Data
| NPI Number: | 1003595182 |
| Provider Name: | PAMELA TABB RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 1668728 |
Most Important Dates
| Enumeration Date: | 07/14/2023 |
| Last Updated: | 07/14/2023 |
Provider Practice Location
1001 S MAIN ST
LAMAR
CO
810523838
Practice Location Phone/Fax
| Phone: | 7193368721 |
| Fax: |
Provider Mailing Location
1001 S MAIN ST
LAMAR
CO
810523838
Provider Mailing Phone/Fax
| Phone: | 7193368721 |
| Fax: |