Individual provider · Type 1 NPI
Pamela Nicole Martin Line, APRN
Psychiatric/Mental Health Nurse Practitioner · Prospect, CT
NPI number
1275371577
Active
Practice location
104 Waterbury Rd Unit B
Prospect, CT 06712-1253
Other practice locations
- 6 Forest Glen Cir Apt 16, Middletown, CT 06457-6649 · (860) 805-9789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 152185 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 13536 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Prospect
About NPI 1275371577
Pamela Nicole Martin Line, APRN's National Provider Identifier is 1275371577, issued on Jul 19, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Prospect, CT. The record was last updated on Dec 26, 2024.