Ms Pam Sue Alissandratos, LPN - Licensed Vocational Nurse in Triadelphia, WV

Ms Pam Sue Alissandratos, LPN is a Licensed Vocational Nurse based in Triadelphia, West Virginia. Ms Pam Sue Alissandratos is licensed to practice in West Virginia (license number 21366) and her current practice location is Rr 1 Box 256a, Triadelphia, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 547-9197.

NPI number for Ms Pam Sue Alissandratos is 1073734034 and her current mailing address is Rr 2 Box 153, Valley Grove, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073734034.

Contact Information

Ms Pam Sue Alissandratos, LPN
Rr 1 Box 256a,
Triadelphia, WV 26059-9725
(304) 547-9197
Not Available



Provider's Profile

Full NameMs Pam Sue Alissandratos
GenderFemale
SpecialityLicensed Vocational Nurse
LocationRr 1 Box 256a, Triadelphia, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073734034
  • Provider Enumeration Date: 05/01/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Pam Sue Alissandratos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073734034NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 21366 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Pam Sue Alissandratos is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Pam Sue Alissandratos, LPN
Rr 2 Box 153,
Valley Grove, WV 26060-8929

Ph: (304) 547-1053
Ms Pam Sue Alissandratos, LPN
Rr 1 Box 256a,
Triadelphia, WV 26059-9725

Ph: (304) 547-9197

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Licensed Vocational Nurse Nurses in Triadelphia, WV


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