Provider Demographics
NPI:1568431385
Name:ROHRER, PAMELA L (NP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:L
Last Name:ROHRER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 RAMON CT
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-1735
Mailing Address - Country:US
Mailing Address - Phone:774-249-0679
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6504
Practice Address - Country:US
Practice Address - Phone:916-830-2000
Practice Address - Fax:916-830-2031
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA179009207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP3566OtherBCBS
P43400Medicare UPIN
MANP3566OtherBCBS