Provider Demographics
NPI:1255827952
Name:EASTER-WITCHER, PAMELA RENEE (FNP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:RENEE
Last Name:EASTER-WITCHER
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 1:711 N CARANCAHUA ST
Mailing Address - Street 2:SUITE3
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78401-0599
Mailing Address - Country:US
Mailing Address - Phone:361-444-5729
Mailing Address - Fax:361-444-5730
Practice Address - Street 1:711 N CARANCAHUA ST STE 300
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401-0581
Practice Address - Country:US
Practice Address - Phone:361-444-5729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137211363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily