M. Camille Davidovich

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN180530 Issued in AZ

Practice address

4048 E Kroll Dr
Gilbert, AZ 85234-7516

Phone

(480) 926-6301

Fax

(480) 813-9011

NPI assigned

Aug 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1669926234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 E KROLL DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852347516",
            "telephone_number": "480-926-6301",
            "fax_number": "480-813-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 E KROLL DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852347516",
            "telephone_number": "480-926-6301",
            "fax_number": "480-813-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOVICH",
        "first_name": "M. CAMILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN180530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Alan Daum, CRNA
• Janak Dave, PHARMD
• Andrea Dawn Davey, MED. BCBA
• Bryan James Davey, PHD, BCBA
• David G Davidson-Methot, PHD, PLLC
• David Glenn Davidson-Methot, PH.D.
• Hailey Davidson
• Kayla Ellen Davies, AGACNP
• Joseph Davila
• Marcos Davila

• School Registered Nurse in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.