Provider Demographics
NPI:1215101688
Name:LI, PAMELA STOKES (ARNP-BC, MSN)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:STOKES
Last Name:LI
Suffix:
Gender:F
Credentials:ARNP-BC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:901 45TH ST
Mailing Address - Street 2:ST. MARY'S MEDICAL CENTER - TRAUMA SERVICE
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2413
Mailing Address - Country:US
Mailing Address - Phone:561-882-2723
Mailing Address - Fax:
Practice Address - Street 1:901 45TH ST
Practice Address - Street 2:ST. MARY'S MEDICAL CENTER - TRAUMA SERVICE
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2413
Practice Address - Country:US
Practice Address - Phone:561-840-6013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9169782363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner