Individual provider · Type 1 NPI
Pamela Sue Underdahl-Boyle, RN
Administrator Registered Nurse · San Luis Obispo, CA
NPI number
1417288432
Active
Practice location
2178 Johnson Ave
San Luis Obispo, CA 93401-4535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 447766 (CA) |
Administrator Registered Nurse: Definition to come...
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About NPI 1417288432
Pamela Sue Underdahl-Boyle, RN's National Provider Identifier is 1417288432, issued on Jan 15, 2010. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jan 15, 2010.