Provider Demographics
NPI:1841393642
Name:WESALA, PAMELA KAY (RN MS APRN BC)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:KAY
Last Name:WESALA
Suffix:
Gender:F
Credentials:RN MS APRN BC
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Mailing Address - Street 1:15849 N. 71ST ST. # 214
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254
Mailing Address - Country:US
Mailing Address - Phone:480-734-7169
Mailing Address - Fax:480-575-9195
Practice Address - Street 1:15849 N. 71ST ST. # 214
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254
Practice Address - Country:US
Practice Address - Phone:480-734-7169
Practice Address - Fax:480-575-9195
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2013-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZRN091533364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health