Individual
PAMELA L DETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHNP
Contact information
Practice address
2218 BROOKFIELD GREENS CIR, SUN CITY CENTER, FL 33573-8047
(702) 408-8897
Mailing address
2218 BROOKFIELD GREENS CIR, SUN CITY CENTER, FL 33573-8047
(702) 408-8897
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP1558782
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP1558782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308485000
—
FL
01
—
Y8586
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/25/2007
Last updated
12/15/2025
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