MRS. PAMELA SUE WARMERDAM MS RD CDE CPT
NPI 1710046966
Registered Nurse - Diabetes Educator in Tracy, CA

Active since December 06, 2006
471 W EATON AVE, TRACY, CA 95376(209) 832-3432(209) 839-6742 Get Directions Write a Review

NPPES record last updated: March 31, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Pamela Sue Warmerdam Ms Rd Cde Cpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PAMELA SUE WARMERDAM MS RD CDE CPT (NPI 1710046966) is an individual diabetes educator provider in Tracy, California, licensed in California (003321) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1710046966
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameMRS. PAMELA SUE WARMERDAMCredential: MS RD CDE CPT
Location Address471 W EATON AVETracy, CA 95376-3420
Mailing Address471 W Eaton AveTracy, CA 95376-3420 · (209) 832-3432 · Fax (209) 839-6742
Fax(209) 839-6742
Sole ProprietorYes
Enumeration DateDecember 6, 2006
Last NPPES UpdateMarch 31, 2010
NPI 1710046966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License Licensed in CA · 003321
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License R703135 (OH)
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 09910714 (CA)
471 W EATON AVE, Tracy, CA 95376

Other Identifiers 1

OtherR703135American Dietetic Assoc

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dietitian, Registered
471 W EATON AVE
TRACY, CA 95376

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710046966, enumerated as an "individual" on December 06, 2006.

The provider is located at 471 W EATON AVE TRACY, CA 95376 and the phone number is (209) 832-3432.

Registered Nurse with taxonomy code 163WD0400X and a focus in Diabetes Educator.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.