Pamela Marie Alwine
Individual provider Active NPI Nurse's Aide · Longview, WA
NPI 1780120089 · NPPES record last updated Jan 10, 2017
Key facts
- NPI
- 1780120089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- NC60195788 (WA)
- Practice address
- 1615 Delaware St
Longview, WA 98632-2367 - Phone
- (360) 414-2000
- NPI assigned
- Jan 10, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC60255902 | WA | MD | Nurse's Aide |
| NC60195788 | WA | MD | Nurse's Aide |
| PC60357029 | WA | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | HC60255902 | WA | |
| Nurse's Aide | 376K00000X | PC60357029 | WA | |
| Nurse's Aide | 376K00000X | NC60195788 | WA | Yes |
Addresses
Primary practice location
1615 Delaware St
Longview, WA 98632-2367
Mailing address
375 Haryu Rd
Longview, WA 98632-9188
Phone (360) 270-9868
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.