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NPI Code Detail

MEDICARE: MRS. CARLA VICTORIA DELCAMBRE ARNP

MEDICARE: MRS. CARLA VICTORIA DELCAMBRE ARNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner076187-23NH
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61149535WA

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 : 1205110178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARLA VICTORIA DELCAMBRE ARNP
Provider Business Mailing Address
First Line : 114 W 7TH ST STE 900
Second Line :
City : AUSTIN
State : TX
Zip : 78701-3013
Country : US
Telephone Number : 603-793-4055
Fax Number :
Provider Business Practice Location Address
First Line : 831 12TH AVE
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-2403
Country : US
Telephone Number : 360-998-2349
Fax Number : 360-998-2887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2011
Last Update Date : 04/09/2024

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