Doctor Name: | KARI LYNN VAN CAMP |
NPI Number: | 1235520636 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-RX,CPNP-PC,FNP |
License Number: | 670 |
Business Practice Address: | 80 Port Street East 408 Mississauga, ONTARIO - L5G4V6 |
Business Phone Number: | 4164769115 |
Business Fax Number: | |
Mailing Address: | 727 Wainee St, 201 LAHAINA |
State: | HI |
Postal Code: | 967611589 |
Phone Number: | 8082804192 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2015 |
NPI Last Update Date: | 06/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 670 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |