Individual provider · Type 1 NPI

Pamela R. Deback, NP

Nurse Practitioner · West Allis, WI

NPI number 1487948626 Active

Practice location

2514 S 102nd St Ste 160
West Allis, WI 53227-2142

Call (414) 225-0304 Map

Mailing address

6860 Dallas Pkwy, Ste 550
Plano, TX 75024-4252

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner	363LA2100X	4409 (WI)
Nurse Practitioner Primary	363L00000X	440933 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1487948626

Pamela R. Deback, NP's National Provider Identifier is 1487948626, issued on Jun 6, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Allis, WI. The record was last updated on Jan 4, 2017.