person
Pamela L Detrick, MHNP
Psychiatric/Mental Health Nurse Practitioner in Nellis Afb, Nevada
NPI 1770638801

Pamela L Detrick is a Psychiatric/Mental Health Nurse Practitioner based in Austin, NV and is specialized in Psychiatric/Mental Health. Pamela L Detrick practices in Nellis Afb, NV and has the professional credentials of MHNP. The NPI Number for Pamela L Detrick is 1770638801 and holds a License No. ARNP1558782 (Nevada).

The current practice location address for Pamela L Detrick is 4700 Las Vegas Blvd N, Nellis Afb, NV and can be reached out via phone at 702-653-3880.

Location: 4700 Las Vegas Blvd N, Nellis Afb, NV, 78723-1411
person
Provider Profile Details
NPI Number
1770638801
Provider Name
Pamela L Detrick
Credential
MHNP
Provider Entity Type
Individual
Gender
Female
Address
4700 Las Vegas Blvd N, Nellis Afb, NV, 78723-1411
Phone Number
702-653-3880
Fax Number
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
308485000 05 FL
Y8586 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4700 Las Vegas Blvd N
City
State
Zip
89191-6600
Phone Number
702-653-3880
Fax Number
person
Provider Business Mailing Address Details
Address
4700 Las Vegas Blvd N
City
State
Zip
89191-6600
Phone Number
702-653-3880
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
ARNP1558782 (Florida)
Definition
Definition to come...
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