Provider Demographics
NPI:1831374685
Name:PERRIN, PAMELA MARIE (APRN)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:MARIE
Last Name:PERRIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3180 CURLEW ROAD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-2629
Mailing Address - Country:US
Mailing Address - Phone:850-778-1547
Mailing Address - Fax:727-286-7738
Practice Address - Street 1:3180 CURLEW ROAD
Practice Address - Street 2:SUITE 106
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-2629
Practice Address - Country:US
Practice Address - Phone:850-778-1547
Practice Address - Fax:727-286-7738
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1375092363LF0000X
FLARNP1375092363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2007009322-22OtherFAMILY NURSE PRACTITIONER