Individual
MS. PAMELA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1100 E DOVE AVE STE 202, MCALLEN, TX 78504-4681
(956) 362-2410
(956) 362-2414
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-2410
(956) 362-2414
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP133977
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP133977
LICENSE
TX
Enumeration date
07/28/2017
Last updated
03/23/2023
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