Mary L Camacho, Licensed Prac Nurse
Licensed Practical Nurse in Vancouver, WA. Individual provider (NPI-1).
NPI number1457570293
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457570293
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary L Camacho
- Credential
- Licensed Prac Nurse
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN00012716 | WA | Yes |
Practice location
2009 Ne 117th St Ste 101Vancouver, WA 98686-4022
Phone 360-566-9112 · Fax 360-566-9133
Mailing address
Po Box 5677Vancouver, WA 98668-5677
Phone 360-254-9311
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 102 Licensed Practical Nurse providers in Vancouver · All 12,887 providers in Vancouver
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