Provider Demographics
NPI:1073353405
Name:CABRERA, PAMMELA NICHOLE (RN)
Entity type:Individual
Prefix:
First Name:PAMMELA
Middle Name:NICHOLE
Last Name:CABRERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8323 REBAWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-1707
Mailing Address - Country:US
Mailing Address - Phone:202-868-1167
Mailing Address - Fax:
Practice Address - Street 1:550 HEIGHTS BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2533
Practice Address - Country:US
Practice Address - Phone:202-868-1167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0001299325163WE0003X, 163WS0121X
VA0001299325163WC1600X, 163WC2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC2100XNursing Service ProvidersRegistered NurseContinence Care
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development