Warmerdam, Pamela Sue

Warmerdam, Pamela Sue is an sole proprietor health care provider with primary practice located at 471 W Eaton Ave , Tracy CA 95376-3420. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Diabetes Educator. Nursing Service Providers / Diabetes Educator is her primary health care specialty. Warmerdam, Pamela Sue can be contacted via phone (209) 832-3432.

Contact Information

Primary practice address
471 W Eaton Ave Tracy CA 95376-3420
Phone: (209) 832-3432
Fax: (209) 839-6742
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X R703135 Ohio
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 09910714 California
Nursing Service Providers / Diabetes Educator 163WD0400X 003321 California

Profile Details

NPI number 1710046966
LBN Legal business name Warmerdam, Pamela Sue
Credentials MS RD CDE CPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Mar 31st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710046966 NPPES
Other R703135 AMERICAN DIETETIC ASSOC

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