Pamela Valarie Estok

Individual provider Active NPI Case Manager/Care Coordinator · Newport, AR

NPI 1669623948 · NPPES record last updated Oct 6, 2008

Key facts

NPI
1669623948
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1507 N Pecan St
Newport, AR 72112-2867
Phone
(870) 523-3644
Fax
(870) 523-8224
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1507 N Pecan St
Newport, AR 72112-2867

Mailing address

308 Forrest Dr
Newport, AR 72112-4025
Phone (870) 523-3644

Other providers in Newport, AR

All providers in Newport, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.