Individual
MS. CAMELA MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1212
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790009025
—
NV
01
—
P00869987
RAILROAD MEDICARE
NV
01
—
V50651
SMA MEDICARE
NV
Enumeration date
03/15/2010
Last updated
03/22/2019
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