Provider Demographics
NPI:1083825236
Name:HARRIS-HAMAN, PAMELA ANN (CRNP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:ANN
Last Name:HARRIS-HAMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:ANN
Other - Last Name:HAMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:115 PROVIDENCE CIR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057-3490
Mailing Address - Country:US
Mailing Address - Phone:717-985-0264
Mailing Address - Fax:
Practice Address - Street 1:501 N LANSDOWNE AVE
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-1114
Practice Address - Country:US
Practice Address - Phone:610-284-8666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-26
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP001578J363LN0005X
TXAP144684363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care