Individual provider · Type 1 NPI
Pamela Vandermark, NP
Gerontology Nurse Practitioner · Shelbyville, IN
NPI number
1740557610
Active
Practice location
2451 Intelliplex Dr Ste 260
Shelbyville, IN 46176-8580
Fax (317) 398-0538
Mailing address
30 W Rampart St Ste 200
Shelbyville, IN 46176-8846
Other practice locations
- 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 · (317) 782-1577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28154814A (IN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 71003764A (IN) |
Gerontology Nurse Practitioner: Definition to come...
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Other gerontology nurse practitioner providers in Shelbyville
About NPI 1740557610
Pamela Vandermark, NP's National Provider Identifier is 1740557610, issued on Nov 21, 2011. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Shelbyville, IN. The record was last updated on Sep 10, 2020.