Healthcare Provider Details

I. General information

NPI: 1962951921
Provider Name (Legal Business Name): PAMELA CALL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2016
Last Update Date: 08/03/2020
Certification Date: 08/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7135 W SAHARA AVE STE 100
LAS VEGAS NV
89117-2828
US

IV. Provider business mailing address

208 CAMELBACK RIDGE AVE
HENDERSON NV
89012-3259
US

V. Phone/Fax

Practice location:
  • Phone: 702-222-9355
  • Fax:
Mailing address:
  • Phone: 702-354-6175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LS0200X
TaxonomySchool Nurse Practitioner
License NumberAPRN 002257
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN002257
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: