Provider Demographics
NPI:1053863894
Name:HENRY-WILLIAMS, PAMELA BETH (ARNP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:BETH
Last Name:HENRY-WILLIAMS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6549 DIAMOND SPRINGS TER
Mailing Address - Street 2:UNIT 2010
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4809
Mailing Address - Country:US
Mailing Address - Phone:561-329-8283
Mailing Address - Fax:
Practice Address - Street 1:11375 PROSPERITY FARMS RD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3442
Practice Address - Country:US
Practice Address - Phone:561-626-9702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9337808363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily