Provider Demographics
NPI:1427353978
Name:GIRGIS, PAMELA J STEPHENSON (APN, PNP)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:J STEPHENSON
Last Name:GIRGIS
Suffix:
Gender:F
Credentials:APN, PNP
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:J STEPHENSON
Other - Last Name:DOUGLASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3016 W CHARLESTON BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1973
Mailing Address - Country:US
Mailing Address - Phone:702-780-2315
Mailing Address - Fax:702-895-1014
Practice Address - Street 1:1524 PINTO LN FL 3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4195
Practice Address - Country:US
Practice Address - Phone:702-944-2828
Practice Address - Fax:702-944-2852
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001253363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1427353978Medicaid