Most Relevant Information
Provider Data
| NPI Number: | 1003067950 |
| Provider Name: | PAMELA LYNN AVILA FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 18526 |
Most Important Dates
| Enumeration Date: | 10/08/2008 |
| Last Updated: | 10/08/2008 |
Provider Practice Location
567 W PUTNAM AVE
PORTERVILLE
CA
932573260
Practice Location Phone/Fax
| Phone: | 5597810386 |
| Fax: | 5597818147 |
Provider Mailing Location
567 W PUTNAM AVE
PORTERVILLE
CA
932573260
Provider Mailing Phone/Fax
| Phone: | 5597810386 |
| Fax: | 5597818147 |