Provider Demographics
NPI:1003477233
Name:MCWHIRTER, PAMELA M (DNP, FNP)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:M
Last Name:MCWHIRTER
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850-1260
Mailing Address - Country:US
Mailing Address - Phone:541-663-3030
Mailing Address - Fax:541-975-5201
Practice Address - Street 1:700 SUNSET DR
Practice Address - Street 2:
Practice Address - City:LA GRANDE
Practice Address - State:OR
Practice Address - Zip Code:97850-1260
Practice Address - Country:US
Practice Address - Phone:541-663-3030
Practice Address - Fax:541-975-5201
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10021597363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily