Doctor Name: | MRS. MERCEDES ELENA CAMACHO |
NPI Number: | 1013069152 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | NN92137 |
Business Practice Address: | 3300 Hudson Ave Union City, NJ - 070875976 |
Business Phone Number: | 2017799910 |
Business Fax Number: | 2013259718 |
Mailing Address: | 3300 Hudson Ave, UNION CITY |
State: | NJ |
Postal Code: | 070875976 |
Phone Number: | 2017799910 |
Fax Number: | 2013259718 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 10/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NN92137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |