National Provider Identifier
Pamela A Hennesen, PA
Pamela A Hennesen, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 626-5250.
Profile Overview
- NPI
- 1619253630
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 24, 2011
- Last Updated
- December 06, 2013
Practice Location
- 60 Maple RD
- Williamsville, NY 14221-2917
Phone: (716) 626-5250
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1619253630
- Entity Type
- Individual
- Last Name
- Hennesen
- First Name
- Pamela
- Middle Name
- A
- Credential
- PA
- Mailing Street Address
- 60 Maple RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2917
- Mailing Country
- US
- Mailing Phone
- (716) 626-5250
- Mailing Fax
- (716) 332-2218
- Practice Street Address
- 60 Maple RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2917
- Practice Country
- US
- Practice Phone
- (716) 626-5250
- Practice Fax
- (716) 332-2218
- Enumeration Date
- October 24, 2011
- Last Updated
- December 06, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)