Provider Demographics
NPI:1174399414
Name:HILL, PAMELA DIANNE
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:DIANNE
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:DIANNE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5604 NW 41ST ST
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73122-3204
Mailing Address - Country:US
Mailing Address - Phone:405-495-8838
Mailing Address - Fax:
Practice Address - Street 1:5604 NW 41ST ST
Practice Address - Street 2:
Practice Address - City:WARR ACRES
Practice Address - State:OK
Practice Address - Zip Code:73122-3204
Practice Address - Country:US
Practice Address - Phone:405-495-8838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator