PAMELA JOAN SPAIN R.N. NPI 1336203728

NPI Information

NPI: 1336203728
Provider Name: PAMELA JOAN SPAIN, R.N.
Classification: Registered Nurse - 163WP0807X
Specialization: Psychiatric/Mental Health, Child & Adolescent
Entity Type: Individual
Address: 1500 D ST RM 601
ANTIOCH, CA
ZIP 94509
Phone: (925) 777-9550

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NPI Details

Pamela Joan Spain, R.N. is a psychiatric/mental health and child and adolescent registered nurse in Antioch, CA. Pamela Joan Spain, R.N. NPI is 1336203728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 D ST RM 601
ANTIOCH, CA
ZIP 94509-346
Phone: (925) 777-9550

The enumeration date for this NPI number is 12/20/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	164935	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	163WS0200X	OTHER	CALIFORNIA	R.N. SCHOOL

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: 11/21/2025

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