Doctor Name: | MANUELA JASMIN CAMARGO |
NPI Number: | 1306217179 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN,FNP-BC |
License Number: | 4704277161 |
Business Practice Address: | 5635 W Fort St Detroit, MI - 482093154 |
Business Phone Number: | 3138493920 |
Business Fax Number: | |
Mailing Address: | 6936 Anna Dr, BELLEVILLE |
State: | MI |
Postal Code: | 481115178 |
Phone Number: | 3134080223 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2015 |
NPI Last Update Date: | 10/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 4704277161 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |