Healthcare Provider Details

I. General information

NPI: 1447270285
Provider Name (Legal Business Name): MICHELLE S. CAMARENA BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CB 7470 UNC CHAPEL HILL CAMPUS HEALTH SERVICE
CHAPEL HILL NC
27599
US

IV. Provider business mailing address

305 CHAPEL VALLEY LN
APEX NC
27502-4676
US

V. Phone/Fax

Practice location:
  • Phone: 919-843-2543
  • Fax: 919-966-0108
Mailing address:
  • Phone: 919-843-2543
  • Fax: 919-966-0108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1400X
TaxonomyCollege Health Registered Nurse
License Number152912
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: