Healthcare Provider Details

I. General information

NPI: 1720916976
Provider Name (Legal Business Name): ISABELA CAMAYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 UPPER KNAPP RD
CLARKS SUMMIT PA
18411-2085
US

IV. Provider business mailing address

109 UPPER KNAPP RD
CLARKS SUMMIT PA
18411-2085
US

V. Phone/Fax

Practice location:
  • Phone: 570-904-1238
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN749945
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: