Vickie Jean Camilli CRNA

NPI 1053697888 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1053697888
Gender Female
Enumeration Date 10/25/2011
Last Updated 05/05/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
1 MEDICAL PARK BLVD
BRISTOL TN, 37620-7430, US
Phone (423) 844-2686
Fax (423) 844-2688
Business Location
1000 HANOVER CT
KINGSPORT TN, 37660-5839, US
Phone (423) 367-7176
Fax
Toxanomy
Taxonomy Code 367500000X
License State Tennessee
License Number 084528
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According to our database, Vickie Jean Camilli CRNA NPI is 1053697888, taxonomy code is 367500000X and license number is 084528, license state is located at Tennessee. Vickie Jean Camilli CRNA physically located at 1 Medical Park Blvd, Bristol TN, 37620-7430. NPI Number Vickie Jean Camilli CRNA has the Individual type.

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1053697888 NPI number is provided on an as is basis without warranty of any kind. 1053697888 is maintained by the National Plan & Provider Enumeration System. The contents of Vickie Jean Camilli CRNA are for informational purposes only.