Individual provider · Type 1 NPI

Pamela Renee Bethel-Wilson, NP

Adult Health Nurse Practitioner · Dallas, TX

NPI number 1013404292 Active

Practice location

4055 Valley View Ln
Dallas, TX 75244-5074

Mailing address

580 Magnolia Dr
Douglasville, GA 30134-6634

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XRN181956 (GA)
Adult Health Nurse Practitioner Primary 363LA2200X308544 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1013404292

Pamela Renee Bethel-Wilson, NP's National Provider Identifier is 1013404292, issued on Apr 13, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Dallas, TX. The record was last updated on Apr 13, 2018.