Individual
PAMELA PROCTOR CRISCITIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP, MSN, RN, OCN
Contact information
Practice address
2215 E VILLA MARIA RD STE 110, BRYAN, TX 77802-2585
(979) 776-2000
(866) 733-2572
Mailing address
812 PINE VALLEY DR, COLLEGE STATION, TX 77845-4460
(305) 298-8973
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG05230129
TX
Other
Enumeration date
06/07/2023
Last updated
03/28/2025
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