Individual provider · Type 1 NPI
Camille Marie Kielbasa, APRN, AGCNS-BC
Gerontology Clinical Nurse Specialist · Georgetown, TX
NPI number
1609501774
Active
Practice location
4945 Williams Dr
Georgetown, TX 78633-2008
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 1003698 (TX) |
| Gerontology Clinical Nurse Specialist Primary | 364SG0600X | 1003698 (TX) |
Gerontology Clinical Nurse Specialist: Definition to come...
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About NPI 1609501774
Camille Marie Kielbasa, APRN, AGCNS-BC's National Provider Identifier is 1609501774, issued on Jul 21, 2022. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in Georgetown, TX. The record was last updated on Oct 15, 2024.