Individual
PAMELA LOUISE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
950 E MAIN ST BLDG B, SOMERTON, AZ 85350-7409
(928) 236-8001
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
(928) 722-6113
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95201954
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN201462
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
280701
AZ
Other
Enumeration date
09/28/2021
Last updated
08/13/2024
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