Healthcare Provider Details

I. General information

NPI: 1871392399
Provider Name (Legal Business Name): COURTNEY CAMARA CBC , CBD , CPNE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2025
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 E WINTER AVE
NEW CASTLE PA
16101-2375
US

IV. Provider business mailing address

141 E WINTER AVE
NEW CASTLE PA
16101-2375
US

V. Phone/Fax

Practice location:
  • Phone: 724-636-9549
  • Fax:
Mailing address:
  • Phone: 724-636-9549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: