Provider Demographics
NPI:1861988545
Name:TOWER, PAMELA JEAN
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:JEAN
Last Name:TOWER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 245
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:ME
Mailing Address - Zip Code:04942-0245
Mailing Address - Country:US
Mailing Address - Phone:207-683-2006
Mailing Address - Fax:
Practice Address - Street 1:208 CHADBOURNE RD.
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:ME
Practice Address - Zip Code:04942
Practice Address - Country:US
Practice Address - Phone:207-683-2006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME63544163WH0200X
MERN63544163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health