Individual
MICHELLE CAMARDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 393-3600
Mailing address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 393-3600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
337366
NY
363L00000X
Nurse Practitioner
Primary
337366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03761731
—
NY
Enumeration date
07/23/2012
Last updated
03/16/2022
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