Individual
HEATHER N CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22908-2273
(434) 243-3090
(434) 244-9445
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0024169552
VA
363LF0000X
Family Nurse Practitioner
Primary
0024169552
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902184567
—
VA
Enumeration date
08/01/2011
Last updated
11/22/2024
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