Individual
DENISE D CARCAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-C
Contact information
Practice address
5410 SHERIDAN LAKE RD, RAPID CITY, SD 57702-9208
(605) 348-4141
(605) 342-7880
Mailing address
5410 SHERIDAN LAKE RD, RAPID CITY, SD 57702-9208
(605) 348-4141
(605) 342-7880
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704213714
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704213714
LICENSE
MI
Enumeration date
12/07/2009
Last updated
09/17/2021
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