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NPI Code Detail

MEDICARE: PAMELA NAMENYI FNP, PNP

MEDICARE: PAMELA NAMENYI FNP, PNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerNP95031871CA
2363LP0200XPediatric Nurse Practitioner30806.1182WY
3163W00000XRegistered Nurse343675OH
4363LF0000XFamily Nurse Practitioner201408154NP-PPOR
5163WH0200XHome Health Registered Nurse343675OH
6207Q00000XFamily Medicine Physician201408154OR
7363LF0000XFamily Nurse Practitioner0991779CO

General Provider Information

NPI Number : 1013164771
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA NAMENYI FNP, PNP
Provider Business Mailing Address
First Line : PO BOX 307
Second Line :
City : FOSSIL
State : OR
Zip : 97830-0307
Country : US
Telephone Number : 541-763-2725
Fax Number :
Provider Business Practice Location Address
First Line : 4212 MISSOURI FLAT RD
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-6269
Country : US
Telephone Number : 530-621-7700
Fax Number : 530-621-7713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2008
Last Update Date : 10/14/2025

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