Individual
CAMILLE NICHELLE CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3811 E BELL RD STE 107, PHOENIX, AZ 85032-2158
(602) 340-1689
(602) 340-1853
Mailing address
5151 E BROADWAY RD STE 107, MESA, AZ 85206-1346
(480) 290-7000
(602) 254-6840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8269
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088740
—
AZ
Enumeration date
09/30/2019
Last updated
10/07/2025
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