Healthcare Provider Details

I. General information

NPI: 1497021877
Provider Name (Legal Business Name): PAMELA DALE MYERS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAMELA HETHERINGTON MYERS NP

II. Dates (important events)

Enumeration Date: 03/29/2012
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 W MAIN ST
MONONGAHELA PA
15063-2564
US

IV. Provider business mailing address

447 W MAIN ST
MONONGAHELA PA
15063-2564
US

V. Phone/Fax

Practice location:
  • Phone: 724-258-2070
  • Fax: 855-475-6063
Mailing address:
  • Phone: 724-258-2070
  • Fax: 855-475-6063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP011999
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP0011999
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: