Individual
DR. PATRICIA ANNE CAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD,RNC,APRN-BC
Contact information
Practice address
2900 THOMAS AVE S APT 1903, MINNEAPOLIS, MN 55416-4583
(917) 756-5386
Mailing address
PO BOX 390351, MINNEAPOLIS, MN 55439-0351
(917) 756-5386
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
114696-3
MN
363LW0102X
Women's Health Nurse Practitioner
114696-3
MN
Other
Enumeration date
06/15/2006
Last updated
10/04/2018
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