Marissa Camacho Dejesus in Columbus - Family
Marissa Camacho Dejesus - NPI 1912989583
Marissa Camacho Dejesus is a Family in Columbus, Ohio. Marissa Camacho Dejesus practices all healthcare services and medical treatments related to Family. The NPI Number for Marissa Camacho Dejesus is 1912989583. The last update date is 2019-11-04.
Marissa Camacho Dejesus's current location address is 410 W 10th Ave, Columbus, Ohio. You can contact this provider via phone number 6143668704 and fax number 6142934281. The mailing address for Marissa Camacho Dejesus is 410 W 10th Ave, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marissa Camacho Dejesus |
|---|---|
| Address | 410 W 10th Ave, Columbus, Ohio |
| Phone Number | 6143668704 |
| Fax Number | 6142934281 |
| Sole Proprietor | N |
| Credentials | APRN-CNP |
NPI Number Detail
| NPI Number | 1912989583 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2019-11-04 |
Provider Mailing Address Detail
| Address | 410 W 10th Ave |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 432101240 |
| Phone Number | 6143668704 |
| Fax Number | 6142934281 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | APRN.CNP.085 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2635652 | OH | -- |
Post Comment/ Review Below
What is the Marissa Camacho Dejesus's 1912989583?
The Marissa Camacho Dejesus's NPI (National Provider Identifier) Number is 1912989583. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Marissa Camacho Dejesus is geographically located?
The Marissa Camacho Dejesus is physically situated at the following location: 410 W 10Th Ave, Columbus, OH, 432101240.
What is the Marissa Camacho Dejesus's area of specialization and corresponding taxonomy classification?
The Marissa Camacho Dejesus's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1912989583 to Marissa Camacho Dejesus?
The Centers for Medicare & Medicaid Services assigned the 1912989583 to Marissa Camacho Dejesus on 2005-11-18.
When was the information pertaining to Marissa Camacho Dejesus most recently updated or revised?
The details related to Marissa Camacho Dejesus, including its address, specialty, and other relevant information, were last updated or revised on 2019-11-04.
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