Provider Demographics
NPI:1770933293
Name:CABER, PAMELA SUE (FNP)
Entity type:Individual
Prefix:MISS
First Name:PAMELA
Middle Name:SUE
Last Name:CABER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:PAMELA
Other - Middle Name:SUE
Other - Last Name:MCCLELLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:908 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:16617-1006
Mailing Address - Country:US
Mailing Address - Phone:814-327-6228
Mailing Address - Fax:
Practice Address - Street 1:620 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4804
Practice Address - Country:US
Practice Address - Phone:814-889-2104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN546629163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine