Ma.Grace Camitan

Primary specialty

Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X

License

4704287216 Issued in MI

Practice address

13794 21 Mile Rd
Shelby TWP, MI 48315-4854

Phone

(586) 532-2100

NPI assigned

Jun 12, 2021

Sex

Female

Sole proprietor

No

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": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623456000000",
    "number": "1700454204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32162 WELLSTON DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13794 21 MILE RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154854",
            "telephone_number": "586-532-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMITAN",
        "first_name": "MA.GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "MI",
            "license": "4704287216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brush Rinse Floss SH PLLC
• Debra Lee Budzeak, PHYSICAL THERAPIST A
• Heather Burleson
• Doreen Elizabeth Cahill, LMSW, CAADC
• Mary Jo Calcaterra, MA CCC SLP
• Kyle John Campion, O.D.
• Kennedy Caperton
• Carelink Services & Billing Solutions, LLC
• Stephanie Lynn Carnaghi, OTRL
• Steven Carter, DPT

• Clinical Nurse Specialist in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Clinical Nurse Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.