Mrs Pamela S Etheridge, is a 
Registered Nurse - Ambulatory Care based in Carrollton, Virginia. Mrs Pamela S Etheridge is licensed to practice in North Carolina (license number 132924) and her current practice location is 
1701 James River Trl, Carrollton, Virginia. She can be reached at her office (for appointments etc.) via phone at 
(252) 339-3481.
NPI number for Mrs Pamela S Etheridge is 1811463714 and her current mailing address is 1701 James River Trl, Carrollton, Virginia. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811463714.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Mrs Pamela S Etheridge | 
|---|
| Gender | Female | 
|---|
| Speciality | Registered Nurse - Ambulatory Care | 
|---|
| Location | 1701 James River Trl, Carrollton, Virginia | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1811463714
 - Provider Enumeration Date: 10/17/2018
 - Last Update Date: 10/17/2018
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Mrs Pamela S Etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1811463714 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 163WP2201X | Registered Nurse - Ambulatory Care  | 132924 (North Carolina) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Pamela S Etheridge is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Mrs Pamela S Etheridge, 1701 James River Trl, Carrollton, VA 23314-3553 Ph: (252) 339-3481 | Mrs Pamela S Etheridge, 1701 James River Trl, Carrollton, VA 23314-3553 Ph: (252) 339-3481 | 
		
		 
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