Pamela N Line, APRN
Nurse Practitioner, Psych/Mental Health in Prospect, Connecticut
1275371577- Practice location
- 104 Waterbury RD Unit B, Prospect, CT 06712-1253
- Phone
- 860-479-1586
- Fax
- —
- Last updated
- December 26, 2024
Pamela Nicole Martin Line is a Nurse Practitioner, Psych/Mental Health based in Prospect, CT. Pamela Nicole Martin Line practices in Prospect, CT and has the professional credentials of APRN. The NPI Number for Pamela Nicole Martin Line is 1275371577 and holds a License No. 152185 (CT). The current practice location address for Pamela Nicole Martin Line is 104 Waterbury RD Unit B, Prospect, CT 06712-1253 and can be reached out via phone at 860-479-1586.
Provider Profile Details
- NPI Number
- 1275371577
- Provider Name
- Pamela Nicole Martin Line
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 104 Waterbury RD Unit B, Prospect, CT 06712-1253
- Phone Number
- 860-479-1586
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 19, 2024
- Last Update Date
- December 26, 2024
- Certification Date
- December 26, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 104 Waterbury RD Unit B
Prospect, CT 06712-1253 - City
- Prospect
- State
- Connecticut
- Zip
- 06712-1253
- Phone Number
- 860-479-1586
Provider Business Mailing Address Details
- Address
- 104 Waterbury RD Unit B
Prospect, CT 06712-1253 - City
- Prospect
- State
- CT
- Zip
- 06712-1253
- Phone Number
- 860-479-1586
- Fax Number
- 949-695-2229
License Information
- License Number (1)
- 152185
- License State (1)
- CT
- Taxonomy (1)
- Registered Nurse, Psych/Mental Health · 163WP0808X
- License Number (2)
- 13536
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Pamela N Line, APRN?
The NPI number of Pamela N Line, APRN is 1275371577. It was assigned on July 19, 2024 and is currently active in the NPPES registry.
What is the specialty of Pamela N Line, APRN?
Pamela N Line, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 152185.
Where does Pamela N Line, APRN practice?
The practice location is 104 Waterbury RD Unit B, Prospect, CT 06712-1253. The office can be reached at 860-479-1586 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275371577 directly on the NPPES registry website.