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General NPI Number Information
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NPI Number | 1255827952
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Entity Type | Individual
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Provider Name | PAMELA RENEE EASTER-WITCHER FNP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 711 N CARANCAHUA ST STE 300
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City | CORPUS CHRISTI
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State | TX
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Zip | 78401-0581
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Country | US
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Telephone | 361-444-5729
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Fax |
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Provider Business Mailing Address
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Address Line | 711 N CARANCAHUA ST SUITE3
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City | CORPUS CHRISTI
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State | TX
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Zip | 78401-0599
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Country | US
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Telephone | 361-444-5729
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Fax | 361-444-5730
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP137211
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License Number State | TX
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