Individual
BRENDA CAMILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
714149
NY
363LA2100X
Acute Care Nurse Practitioner
F431982-01
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN04166
RI
Other
Enumeration date
07/09/2022
Last updated
03/17/2026
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