Individual
MARY LUCILLE CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2460 OKA ST, KILAUEA, HI 96754-5308
(808) 828-2885
(928) 367-1330
Mailing address
2460 OKA ST, KILAUEA, HI 96754-5308
(808) 828-2885
(928) 367-1330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN1040
HI
363LF0000X
Family Nurse Practitioner
RN032228
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
864943
—
AZ
Enumeration date
07/18/2005
Last updated
02/23/2011
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