Provider Demographics
NPI:1902985781
Name:THORPE, PAMELA A (ACNM)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:A
Last Name:THORPE
Suffix:
Gender:F
Credentials:ACNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-2709
Mailing Address - Country:US
Mailing Address - Phone:563-355-1853
Mailing Address - Fax:563-359-1512
Practice Address - Street 1:1500 DELHI ST STE 3100
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6361
Practice Address - Country:US
Practice Address - Phone:563-557-5959
Practice Address - Fax:563-557-5950
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAB-074328367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAB-074328OtherCERTIFIED NURSE-MIDWIFE