Individual
MS. CAMILLA ANN BICKNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
225 S UNION BLVD, COLORADO SPRINGS, CO 80910-3184
(719) 632-5700
(719) 344-7837
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5101
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
94580
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07945801
—
CO
Enumeration date
06/22/2005
Last updated
04/03/2017
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