Patricia Anne Camillo, PHD,RNC,APRN-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

114696-3 Issued in MN

Practice address

2900 Thomas Ave S Apt 1903
Minneapolis, MN 55416-4583

Phone

(917) 756-5386

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1326082991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390351",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554390351",
            "telephone_number": "917-756-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 THOMAS AVE S APT 1903",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164583",
            "telephone_number": "917-756-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILLO",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD,RNC,APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "114696-3",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "114696-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Lacson Cameron, PSY.D.
• Elizabeth H Cameron, MD, MPH
• Heather Jeannine Cameron, PT
• Stuart Edwin Hauser Cameron, MD
• Camilla Home Health LLC
• Diane J Camp, MD
• Jessica L Camp, CRNA
• Sharon Ann Campbell-Newman, FNP, PMHNP
• Alex Robert Campbell, MD
• Alexis Campbell

• Gerontology Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.