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Individual

EDWARD CHRISTIAN MIANO CAMACHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
18456 N 25TH AVE, PHOENIX, AZ 85023-1213
(602) 755-7858
Mailing address
4549 S SQUIRES LN UNIT 201, GILBERT, AZ 85297-2330
(615) 330-0162

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
305830
AZ
163WP0808X
Psychiatric/Mental Health Registered Nurse
464615
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
305830
AZ

Other

Enumeration date
04/22/2024
Last updated
11/13/2025
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