Pamela J Vetter, ACNS-BC, APNP

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

2014004212 Issued in WI

Practice address

215 N 28TH Ave
Wausau, WI 54401-4100

Phone

(715) 847-2391

Fax

(715) 847-2869

NPI assigned

Aug 19, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1487053062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N 28TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014100",
            "telephone_number": "715-847-2391",
            "fax_number": "715-847-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 28TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014100",
            "telephone_number": "715-847-2391",
            "fax_number": "715-847-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTER",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "ACNS-BC, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "WI",
            "license": "2014004212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE PRESCRIBER",
            "identifier": "5938-33",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Venzke, RN
• Chad Robert Vercimak
• Erin Marie Verley
• Jennifer Susan Verna, AGACNP
• John James Verre, D.O.
• Kirsten R Vetterkind, FNP
• Anastasia Viars, LPC-IT
• Jill Rae Viergutz, BSN, RN
• Dominique N Villalba, PA-C
• Maria Cristina Villena Odriozola

• Adult Health Clinical Nurse Specialist in Wausau, WI
• Providers in Wausau, WI by specialty
• Adult Health Clinical Nurse Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.