MEDICARE: NICOLE L. CAMP-ALERTE M.D.

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	207L00000X	Anesthesiology Physician	D0074230	MD

General Provider Information

NPI Number	:	1699939678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE L. CAMP-ALERTE M.D.

Provider Business Mailing Address
First Line	:	1133 E WEST HWY
Second Line	:	APT. 1117W
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4804
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 23RD ST NW
Second Line	:	SUITE 6120
City	:	WASHINGTON
State	:	DC
Zip	:	20037-2327
Country	:	US
Telephone Number	:	202-994-7903
Fax Number	:

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

Provider Enumeration Date	:	07/18/2008
Last Update Date	:	09/14/2012

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