Provider Demographics
NPI:1316933435
Name:SWITZER, PAMELA S (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:S
Last Name:SWITZER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 WEST NORTH ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-1530
Mailing Address - Country:US
Mailing Address - Phone:315-789-0993
Mailing Address - Fax:315-789-0281
Practice Address - Street 1:293 WEST NORTH ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-1530
Practice Address - Country:US
Practice Address - Phone:315-789-0993
Practice Address - Fax:315-789-0281
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3316461363LF0000X
NY331646363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01935111Medicaid
NY01935111Medicaid
J400043965Medicare UPIN
NYDD1836Medicare PIN