Doctor Name: | MRS. V CAMILLE BURCE SOLIS |
NPI Number: | 1356681134 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP012281 |
Business Practice Address: | 4829 E Street Rd Trevose, PA - 190536647 |
Business Phone Number: | 2153645800 |
Business Fax Number: | |
Mailing Address: | 4328 Lauriston St, PHILADELPHIA |
State: | PA |
Postal Code: | 191284938 |
Phone Number: | 9732196984 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2013 |
NPI Last Update Date: | 02/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | SP012281 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |