Healthcare Provider Details

I. General information

NPI: 1891787677
Provider Name (Legal Business Name): PAMELA L. MCGEE C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 DEFENSE TER ABBOTTSFORD FAMILY PRACTICE AND COUNSELING NETWORK
PHILADELPHIA PA
19129-1110
US

IV. Provider business mailing address

2324 OAKFIELD RD
WARRINGTON PA
18976-2038
US

V. Phone/Fax

Practice location:
  • Phone: 215-843-9720
  • Fax: 215-843-7313
Mailing address:
  • Phone: 215-918-0580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License NumberUP006831-B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: