Healthcare Provider Details

I. General information

NPI: 1740418953
Provider Name (Legal Business Name): PAMELA ANN WHITLOW MSN, NNP, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 06/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 E 19TH AVE
DENVER CO
80218-1235
US

IV. Provider business mailing address

1551 LARIMER ST APT 802
DENVER CO
80202-1629
US

V. Phone/Fax

Practice location:
  • Phone: 303-839-7790
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number97313
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number97313
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: