Healthcare Provider Details

I. General information

NPI: 1922445071
Provider Name (Legal Business Name): KRISTEN ANNE CAMAROTA AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN ANNE BAKER AU.D.

II. Dates (important events)

Enumeration Date: 05/30/2013
Last Update Date: 08/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 S 6TH AVE AUDIOLOGY 5-126
TUCSON AZ
85723-0001
US

IV. Provider business mailing address

2600 W IRONWOOD HILL DR APARTMENT #15275
TUCSON AZ
85745-1085
US

V. Phone/Fax

Practice location:
  • Phone: 520-629-1846
  • Fax: 520-629-4707
Mailing address:
  • Phone: 561-339-5112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberDA8263
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License NumberDA8263
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberDA8263
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: