Healthcare Provider Details
I. General information
NPI: 1164333829
Provider Name (Legal Business Name): CAMIS PILLING DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
640 W 800 N
OREM UT
84057-3658
US
IV. Provider business mailing address
5071 N WILLOW TREE RD
EAGLE MOUNTAIN UT
84005-5783
US
V. Phone/Fax
- Phone: 801-374-0354
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | 13545839-3102 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: