Individual
BRIENNA M CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 EAST ST, LYNNVILLE, IA 50153-7719
(641) 527-2929
(641) 527-2922
Mailing address
6940 VAN DORN ST, SUITE 201, LINCOLN, NE 68506-2858
(402) 323-8572
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
00000
NE
363A00000X
Physician Assistant
Primary
074695
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101771
IOWA CONTROLLED
IA
Enumeration date
02/06/2013
Last updated
03/07/2023
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