Provider Demographics
NPI:1346307956
Name:TRYON, PAMELA RENEE (NP)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:RENEE
Last Name:TRYON
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:840 TOWNE CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-5900
Mailing Address - Country:US
Mailing Address - Phone:909-398-1550
Mailing Address - Fax:909-398-1488
Practice Address - Street 1:1910 ROYALTY DRIVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-7205
Practice Address - Country:US
Practice Address - Phone:909-630-7205
Practice Address - Fax:909-630-7380
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2018-10-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA15982363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care