Provider Demographics
NPI:1003105362
Name:GEARY, PAMELA (ACNP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:GEARY
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1015 FRANKLIN ST
Mailing Address - Street 2:WESSEL BUILDING LEVEL D
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-4110
Mailing Address - Country:US
Mailing Address - Phone:814-534-5042
Mailing Address - Fax:814-534-5045
Practice Address - Street 1:1015 FRANKLIN ST
Practice Address - Street 2:WESSEL BUILDING LEVEL D
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-4110
Practice Address - Country:US
Practice Address - Phone:814-534-5042
Practice Address - Fax:814-534-5045
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP011287363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care