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Individual

MARJORIE SELENE CAMARDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201708979RN
OR
363L00000X
Nurse Practitioner
AP61013196
WA
367A00000X
Advanced Practice Midwife
Primary
201907254NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50776456
OR
Enumeration date
03/10/2019
Last updated
05/05/2020
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