Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | UP006831-B | PA |
NPI | 1891787677 |
---|---|
Provider Name | Pamela L. Mcgee |
First Address | Warrington, PA 18976-2038 |
Second Address | Philadelphia, PA 19129-1110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 08/07/2007 |