Provider Demographics
NPI:1144099672
Name:MCGOVERN, PAM (NBC-HWC)
Entity type:Individual
Prefix:
First Name:PAM
Middle Name:
Last Name:MCGOVERN
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HENRY DR
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03882-8401
Mailing Address - Country:US
Mailing Address - Phone:603-247-3743
Mailing Address - Fax:
Practice Address - Street 1:30 HENRY DR
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:NH
Practice Address - Zip Code:03882-8401
Practice Address - Country:US
Practice Address - Phone:603-247-3743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach