Pamela Lynn Avila, FNP

Individual provider Active NPI Nurse Practitioner · Porterville, CA

NPI 1003067950 · NPPES record last updated Oct 8, 2008

Key facts

NPI
1003067950
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
18526 (CA)
Practice address
567 W Putnam Ave
Porterville, CA 93257-3260
Phone
(559) 781-0386
Fax
(559) 781-8147
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18526 CA Yes

Addresses

Primary practice location

567 W Putnam Ave
Porterville, CA 93257-3260

Mailing address

567 W Putnam Ave
Porterville, CA 93257-3260
Phone (559) 781-0386

Other providers in Porterville, CA

All providers in Porterville, CA · Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.