Provider Demographics
NPI:1144471376
Name:HALSEY, PAMELA S (RN, BSN, MHR)
Entity type:Individual
Prefix:MISS
First Name:PAMELA
Middle Name:S
Last Name:HALSEY
Suffix:
Gender:F
Credentials:RN, BSN, MHR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ANDREWS AVE BUILDING 301
Mailing Address - Street 2:
Mailing Address - City:FORT RUCKER
Mailing Address - State:AL
Mailing Address - Zip Code:36362-5333
Mailing Address - Country:US
Mailing Address - Phone:334-255-7609
Mailing Address - Fax:334-255-7716
Practice Address - Street 1:ANDREWS AVE BUILDING 301
Practice Address - Street 2:
Practice Address - City:FORT RUCKER
Practice Address - State:AL
Practice Address - Zip Code:36362-5333
Practice Address - Country:US
Practice Address - Phone:334-255-7609
Practice Address - Fax:334-255-7716
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-051103163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care