Healthcare Provider Details
I. General information
NPI: 1811994155
Provider Name (Legal Business Name): PAMELA ANN MCGARVEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/01/2005
Last Update Date: 02/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1980 NORTH ROOSEVELT BLVD
KEY WEST FL
33040
US
IV. Provider business mailing address
1980 NORTH ROOSEVELT BLVD
KEY WEST FL
33040
US
V. Phone/Fax
- Phone: 305-294-0011
- Fax: 305-434-9955
- Phone: 305-294-0011
- Fax: 305-434-9955
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | NP07530 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | RN201146 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 9383910 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | NP07530 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: