Doctor Name: | MARY LUCILLE CAMERON |
NPI Number: | 1184623605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | RN032228 |
Business Practice Address: | 2460 Oka St Kilauea, HI - 967545308 |
Business Phone Number: | 8088282885 |
Business Fax Number: | 9283671330 |
Mailing Address: | 2460 Oka St, KILAUEA |
State: | HI |
Postal Code: | 967545308 |
Phone Number: | 8088282885 |
Fax Number: | 9283671330 |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 02/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN032228 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |