Individual provider · Type 1 NPI

Pamela Joan Spain, R.N.

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Antioch, CA

NPI number 1336203728 Active

Practice location

1500 D St Rm 601
Antioch, CA 94509-2346

Mailing address

810 Hamilton Dr
Pleasant Hill, CA 94523-3560

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X164935 (CA)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1336203728

Pamela Joan Spain, R.N.'s National Provider Identifier is 1336203728, issued on Dec 20, 2006. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Antioch, CA. The record was last updated on Jul 8, 2007.