Individual provider · Type 1 NPI
Pamela Anderson
General Practice Registered Nurse · Newark, NJ
NPI number
1013600162
Active
Practice location
354 Doremus Ave
Newark, NJ 07105-4882
Other practice locations
- 564 Varsity Rd, South Orange, NJ 07079-2631 · (609) 292-4036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician | 207QA0505X | 26NN08240300 (NJ) |
| General Practice Registered Nurse Primary | 163WG0000X | 26NN08240300 (NJ) |
General Practice Registered Nurse: Definition to come...
3 other providers at this address
Other general practice registered nurse providers in Newark
About NPI 1013600162
Pamela Anderson's National Provider Identifier is 1013600162, issued on Jun 2, 2023. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Newark, NJ. The record was last updated on Jun 2, 2023.