MRS. MARCIE MARIE CAMBLIN


Address: 16551 N Naegel Dr, Surprise, AZ 85374-5411
Phone: 6237647402

MRS. MARCIE MARIE CAMBLIN (NPI# 1508381880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508381880
Entity Type Individual
Full Name MRS. MARCIE MARIE CAMBLIN
Credential MSN, ACNPC-AG, CCRN
Practice Address 16551 N Naegel Dr
Surprise
AZ 85374-5411
Practice Telephone 6237647402
Mailing Telephone 6237647402
Enumeration Date 2017-08-08
Last Update Date 2017-08-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
AP10481 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ ARIZONA STATE BOARD AP10481 01
AMERICAN ASSOCIATION OF CRITICAL CARE NURSING 2000025194 01

Office Location

Street Address 16551 N NAEGEL DR
City SURPRISE
State AZ
Zip Code 85374-5411

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1154928463 Willie Sellers Nurse Practitioner 15354 W Charter Oak Rd, Surprise, AZ 85379-9184 2020-10-08
1194781211 Anne Marie Gerth Nurse Practitioner 15810 N 137th Ave, Surprise, AZ 85374-5300 2006-04-26
1376903138 Arizona Lung Sleep and Valley Fever Institute Nurse Practitioner 14961 W Bell Rd, #175, Surprise, AZ 85374-3200 2016-03-07

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NPI Name Taxonomy Address Enumeration
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1194070227 Debra Rouse Haber Nurse Practitioner 755 S Grapevine Loop, Benson, AZ 85602-7430 2012-07-15
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1023222551 Mary L Froehlich Nurse Practitioner 2930 E Camelback Rd, Phoenix, AZ 85016-4411 2007-05-10
1396898458 The Elderly Advocate Inc. Nurse Practitioner 4040 E Mcdowell Rd, Suite # 214, Phoenix, AZ 85008-4414 2007-01-19
1104867589 Karin E Ohlson Nurse Practitioner 13531 E Whitehorse Trl, Vail, AZ 85641-6194 2006-06-09
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Competitor

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City SURPRISE
Zip Code 85374

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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