Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD-32032 | IA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | MD-32032 | IA |
NPI | 1154316024 |
---|---|
Provider Name | Dr. Pamela Lynne Nerheim |
First Address | West Des Moines, IA 50266-9313 |
Second Address | West Des Moines, IA 50266 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 27/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G65482 | (02) | IA |