Provider Demographics
NPI:1336805043
Name:WEBSTER, PAMELA (APRN, FNP-BC, PHD)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:APRN, FNP-BC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 WILD FLOWER TRL
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-1437
Mailing Address - Country:US
Mailing Address - Phone:401-741-2928
Mailing Address - Fax:
Practice Address - Street 1:1672 S COUNTY TRL
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-5098
Practice Address - Country:US
Practice Address - Phone:401-884-0020
Practice Address - Fax:401-884-0019
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2024-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN65519163W00000X
RIAPRN02919363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse