Individual provider · Type 1 NPI

Mary L. Camacho, LICENSED PRAC NURSE

Licensed Practical Nurse · Vancouver, WA

NPI number 1457570293 Active

Practice location

2009 NE 117th St Ste 101
Vancouver, WA 98686-4022

Call (360) 566-9112 Map

Fax (360) 566-9133

Mailing address

PO Box 5677
Vancouver, WA 98668-5677

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN00012716 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1457570293

Mary L. Camacho, LICENSED PRAC NURSE's National Provider Identifier is 1457570293, issued on Apr 24, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.