Mariel Denisse Toledo Camp, RN
Individual provider Active NPI Registered Nurse · Dover, PA
NPI 1104416775 · NPPES record last updated Jan 19, 2021
Key facts
- NPI
- 1104416775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN726559 (PA)
- Practice address
- 2985 Village Square Dr
Dover, PA 17315-4576 - Phone
- (717) 360-6321
- NPI assigned
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN726559 | PA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN726559 | PA | Yes |
Addresses
Primary practice location
2985 Village Square Dr
Dover, PA 17315-4576
Mailing address
2985 Village Square Dr
Dover, PA 17315-4576
Other providers in Dover, PA
- Marcus Betzer
- Isabelle Renee Bortner
- Patricia Bowman
- Richard L Burnside
- Hannah Mae Byorick
- Jennifer R Cederberg
- Central PA Medical Transport LLC
- Lora Kathleen Chesla
- Paul Thomas Ciechoski
- Merrill Alan Cohen
All providers in Dover, PA · Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.