Healthcare Provider Details

I. General information

NPI: 1265983365
Provider Name (Legal Business Name): PAMELA WESTON NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2016
Last Update Date: 11/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26351 PATRIOTS WAY
GEORGETOWN DE
19947-2575
US

IV. Provider business mailing address

1275 S STATE ST
DOVER DE
19901-6927
US

V. Phone/Fax

Practice location:
  • Phone: 302-933-3000
  • Fax:
Mailing address:
  • Phone: 302-672-2319
  • Fax: 302-672-2341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0000968
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: