Pamela Gail Berry, FNP

Individual provider Active NPI Family Nurse Practitioner · Colorado Springs, CO

NPI 1174368153 · NPPES record last updated Jul 1, 2024

Key facts

NPI
1174368153
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
APN.0999773-NP (CO)
Practice address
2502 E Pikes Peak Ave Ste 100
Colorado Springs, CO 80909-6089
Phone
(719) 691-3309
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
APN.0999773-NPCOMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0999773-NP CO Yes

Addresses

Primary practice location

2502 E Pikes Peak Ave Ste 100
Colorado Springs, CO 80909-6089

Mailing address

2502 E Pikes Peak Ave Ste 100
Colorado Springs, CO 80909-6089

Other providers in Colorado Springs, CO

All providers in Colorado Springs, CO · Family Nurse Practitioner in Colorado

Sources for this page

Verify at the official NPI Registry.