Individual
PAMELA DARBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9555
Mailing address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
232944
TX
364S00000X
Clinical Nurse Specialist
232944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153719305
—
TX
Enumeration date
10/07/2011
Last updated
06/15/2012
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