Individual
CARISSA VANCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2445 S 350 W, COLUMBIA CITY, IN 46725-9728
(260) 248-1701
(260) 234-3292
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28206591A
IN
363L00000X
Nurse Practitioner
Primary
71013296A
IN
Other
Enumeration date
11/02/2022
Last updated
06/17/2025
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