Basic Information
Provider Information
NPI: 1891787677
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCGEE
FirstName: PAMELA
MiddleName: L.
NamePrefix:  
NameSuffix:  
Credential: C.R.N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2324 OAKFIELD RD
Address2:  
City: WARRINGTON
State: PA
PostalCode: 189762038
CountryCode: US
TelephoneNumber: 2159180580
FaxNumber:  
Practice Location
Address1: 3205 DEFENSE TER
Address2: ABBOTTSFORD FAMILY PRACTICE AND COUNSELING NETWORK
City: PHILADELPHIA
State: PA
PostalCode: 191291110
CountryCode: US
TelephoneNumber: 2158439720
FaxNumber: 2158437313
Other Information
ProviderEnumerationDate: 08/18/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LC1500XUP006831-BPAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health

No ID Information.


Home