# MS. PAMALA GAIL DREVER

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

## Provider details

- **NPI number:** 1659620730
- **Gender:** F
- **Credential:** ACNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 254755 | TX | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | 254755 | TX | — |

## Other

- **Enumeration date:** 09/05/2012
- **Last updated:** 04/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1659620730 | TRICARE | TX |
| 01 | — | 182797400 | DEPARTMENT OF LABOR | TX |
| 05 | — | 312319201 | — | TX |
| 01 | — | 760555765 | UNITED HEALTHCARE | TX |
| 01 | — | 881N40 | BLUE CROSS BLUE SHIELD OF TEXAS | TX |