Individual
MRS. MARCIE MARIE CAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNPC-AG, CCRN
Contact information
Practice address
16551 N NAEGEL DR, SURPRISE, AZ 85374-5411
(623) 764-7402
Mailing address
16551 N NAEGEL DR, SURPRISE, AZ 85374-5411
(623) 764-7402
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP10481
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000025194
AMERICAN ASSOCIATION OF CRITICAL CARE NURSING
—
01
—
AP10481
ARIZONA STATE BOARD
AZ
Enumeration date
08/08/2017
Last updated
08/08/2017
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