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NPI Code Detail

MEDICARE: CAMILLE ANGELI MOHAMMED ALONSO FNP-C

MEDICARE:   CAMILLE ANGELI MOHAMMED ALONSO  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 Practitioner321021AZ

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 : 1831904903
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLE ANGELI MOHAMMED ALONSO FNP-C
Provider Business Mailing Address
First Line : 261 N ROOSEVELT AVE
Second Line :
City : CHANDLER
State : AZ
Zip : 85226-2617
Country : US
Telephone Number : 480-677-8282
Fax Number : 888-316-1686
Provider Business Practice Location Address
First Line : 10410 N 35TH AVE # 112-114
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-1303
Country : US
Telephone Number : 480-677-8282
Fax Number : 888-316-1686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2025
Last Update Date : 04/20/2026

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Directions to “ CAMILLE ANGELI MOHAMMED ALONSO FNP-C” Practice Location

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