Doctor Name: | DANA RENEE CAMERER |
NPI Number: | 1649491184 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 209003307 |
Business Practice Address: | 5800 Godfrey Rd Godfrey, IL - 620352426 |
Business Phone Number: | 6184684431 |
Business Fax Number: | |
Mailing Address: | 4339 Pine Rd, PALMYRA |
State: | IL |
Postal Code: | 626746673 |
Phone Number: | 6184684431 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 12/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209003307 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |