Provider Demographics
NPI:1356064257
Name:RIKE, PAMELA LEANN
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LEANN
Last Name:RIKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:DAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4613 NE 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34479-2027
Mailing Address - Country:US
Mailing Address - Phone:352-644-3060
Mailing Address - Fax:
Practice Address - Street 1:4613 NE 20TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34479-2027
Practice Address - Country:US
Practice Address - Phone:352-644-3060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula