# PAMELA RENEE BETHEL-WILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1013404292
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 308544 | NY | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | RN181956 | GA | — |

## Other

- **Enumeration date:** 04/13/2018
- **Last updated:** 04/13/2018