Individual
PAMELA C WHEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FPMHNP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016019093
MO
363LF0000X
Family Nurse Practitioner
144607
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2016019093
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196516
BCBS
—
01
—
250766
HEALTHLINK
—
05
—
428360317
—
MO
01
—
P00333593
RAILROAD MEDICARE
—
Enumeration date
09/20/2006
Last updated
10/07/2025
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