Provider Demographics
NPI:1740424993
Name:ASELTON, PAMELA JOAN (FNP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:JOAN
Last Name:ASELTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 ALDEN STREET
Mailing Address - Street 2:SPRINGFIELD COLLEGE HEALTH SERVICE
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01109
Mailing Address - Country:US
Mailing Address - Phone:413-748-3175
Mailing Address - Fax:413-748-3444
Practice Address - Street 1:263 ALDEN STREET
Practice Address - Street 2:SPRINGFIELD COLLEGE HEALTH SERVICE
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01109
Practice Address - Country:US
Practice Address - Phone:413-748-3175
Practice Address - Fax:413-748-3444
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA154701363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily