Individual
CAMILLE MAE CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6441 ANNA LOUISE DR, CHARLESTOWN, IN 47111-8797
(502) 544-3079
Mailing address
6441 ANNA LOUISE DR, CHARLESTOWN, IN 47111-8797
(502) 544-3079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014663
KY
Other
Enumeration date
10/20/2020
Last updated
10/29/2021
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