Provider Demographics
NPI:1548436603
Name:ENRIGHT, PAMELA GAIL (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:GAIL
Last Name:ENRIGHT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2585 E WILCOX DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2821
Mailing Address - Country:US
Mailing Address - Phone:520-452-0388
Mailing Address - Fax:520-452-0379
Practice Address - Street 1:2585 E WILCOX DR
Practice Address - Street 2:SUITE A
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2821
Practice Address - Country:US
Practice Address - Phone:520-452-0388
Practice Address - Fax:520-452-0379
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3013363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily