Individual provider · Type 1 NPI
Edward Christian Miano Camacho, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Glendale, AZ
NPI number
1245085240
Active
Practice location
5940 W Union Hills Dr Ste B100
Glendale, AZ 85308-1313
Fax (623) 440-5695
Mailing address
4549 S Squires Ln Unit 201
Gilbert, AZ 85297-2330
Other practice locations
- 18456 N 25th Ave, Phoenix, AZ 85023-1213 · (602) 755-7858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 464615 (OH) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 305830 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 305830 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Leslie Bateman, DCChiropractor Glendale, AZ NPI 1801362751
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About NPI 1245085240
Edward Christian Miano Camacho, PMHNP-BC's National Provider Identifier is 1245085240, issued on Apr 22, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glendale, AZ. The record was last updated on Sep 10, 2026.