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NPI Code Detail

MEDICARE: CAMELIA GEMBALA FNP-C

MEDICARE: CAMELIA GEMBALA FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN122410AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104004191
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMELIA GEMBALA FNP-C
Provider Business Mailing Address
First Line : 1016 W UNIVERSITY AVE
Second Line : STE 206
City : FLAGSTAFF
State : AZ
Zip : 86001-2996
Country : US
Telephone Number : 928-266-1530
Fax Number : 928-266-1531
Provider Business Practice Location Address
First Line : 3939 S PARK AVE
Second Line : SUITE 150
City : TUCSON
State : AZ
Zip : 85714-1635
Country : US
Telephone Number : 520-745-5001
Fax Number : 520-573-9607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2008
Last Update Date : 03/20/2017

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Directions to “ CAMELIA GEMBALA FNP-C” Practice Location

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