Individual
CAMILLE MARIE KIELBASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AGCNS-BC
Contact information
Practice address
4945 WILLIAMS DR, GEORGETOWN, TX 78633-2008
(512) 819-0500
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
1003698
TX
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
1003698
TX
Other
Enumeration date
07/21/2022
Last updated
10/15/2024
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