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1467434910

NPI Code Detail

MEDICARE: REENA M CAMOENS MD

MEDICARE: REENA M CAMOENS MD

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
1	2084P0800X	Psychiatry Physician	MD0000026538	TN
2	2084P0804X	Child & Adolescent Psychiatry Physician	331755	NY
3	2084P0804X	Child & Adolescent Psychiatry Physician	MD26538	TN
4	2084P0800X	Psychiatry Physician	2461777	ID
5	2084P0800X	Psychiatry Physician	DR.0058501	CO
6	2084P0800X	Psychiatry Physician	331755	NY

General Provider Information

NPI Number	:	1467434910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REENA M CAMOENS MD

Provider Business Mailing Address
First Line	:	3601 THE VANDERBILT CLINIC
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0001
Country	:	US
Telephone Number	:	615-322-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 N COLLEGE RD
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-3484
Country	:	US
Telephone Number	:	208-814-9100
Fax Number	:	208-814-9903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	12/11/2024

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Directions to “ REENA M CAMOENS MD” Practice Location

Language	Start Address	Practice Location

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