Provider Demographics
NPI:1457029993
Name:DREYER, PAMELA KRISTINE (PA)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:KRISTINE
Last Name:DREYER
Suffix:
Gender:F
Credentials:PA
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5739 BOSTON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2383
Mailing Address - Country:US
Mailing Address - Phone:907-230-8388
Mailing Address - Fax:
Practice Address - Street 1:50 BUCK CREEK RD STE 105
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620-5428
Practice Address - Country:US
Practice Address - Phone:970-947-0601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2023-10-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant