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Individual

ANNA CAMACHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
597 FARMINGTON AVE, HARTFORD, CT 06105-3030
(860) 481-3565
Mailing address
597 FARMINGTON AVE, HARTFORD, CT 06105-3030
(860) 481-3565

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4926
CT
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
4926
CT
363LP0200X
Pediatric Nurse Practitioner
004926
CT

Other

Enumeration date
01/26/2012
Last updated
01/19/2023
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