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Ms. Pamela Sue Shoda, NP
Nurse Practitioner in Fort Wayne, Indiana
NPI 1194823989

Pamela Sue Shoda is a Nurse Practitioner based in Fort Wayne, IN. Pamela Sue Shoda practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Pamela Sue Shoda is 1194823989 and holds a License No. 71002051A (Indiana).

The current practice location address for Pamela Sue Shoda is 5750 Falls Dr, Fort Wayne, IN and can be reached out via phone at 260-436-8000 and via fax at 260-432-5587.

Location: 5750 Falls Dr, Fort Wayne, IN, 46804-7147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194823989
Provider Name
Pamela Sue Shoda
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5750 Falls Dr, Fort Wayne, IN, 46804-7147
Phone Number
260-436-8000
Fax Number
260-432-5587
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000386476 01 BCBS
71002051B 01 IN CSR LICENSE NUMBER
P00309869 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
5750 Falls Dr
City
Fort Wayne
State
Indiana
Zip
46804-7147
Phone Number
260-436-8000
Fax Number
260-432-5587
person
Provider Business Mailing Address Details
Address
5750 Falls Dr
City
Fort Wayne
State
Indiana
Zip
46804-7147
Phone Number
260-436-8000
Fax Number
260-432-5587
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71002051A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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