Individual provider · Type 1 NPI
Camille Ivy Medina
Psychiatric/Mental Health Nurse Practitioner · Pasadena, CA
NPI number
1033901582
Active
Practice location
100 W California Blvd
Pasadena, CA 91105-3010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95034074 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1033901582
Camille Ivy Medina's National Provider Identifier is 1033901582, issued on May 20, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pasadena, CA. The record was last updated on May 20, 2025.