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PAMELA RENEE BETHEL-WILSON NP NPI 1013404292


NPI Information

NPI: 1013404292
Provider Name: PAMELA RENEE BETHEL-WILSON, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: MEDICAL DIRECTOR SERVICES PC

PECOS Registration: Yes

Address:
4055 VALLEY VIEW LN
DALLAS, TX
ZIP 75244
Phone: (972) 715-3800
Get Directions

Pamela Renee Bethel-wilson, NP is an adult health nurse practitioner in Dallas, TX with 8 years of experience. Pamela Renee Bethel-wilson, NP NPI is 1013404292. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

4055 VALLEY VIEW LN
DALLAS, TX
ZIP 75244-074
Phone: (972) 715-3800

The NPI 1013404292 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2018 and was last updated on 4/13/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health308544NEW YORKYes
2363LA2200XNurse PractitionerAdult HealthRN181956GEORGIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.