Provider Demographics
NPI:1356866255
Name:CAMUS, BRYAN (MSN,FNP-C, APRN, CME)
Entity Type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:
Last Name:CAMUS
Suffix:
Gender:M
Credentials:MSN,FNP-C, APRN, CME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 PALATINE AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3780
Mailing Address - Country:US
Mailing Address - Phone:813-230-2981
Mailing Address - Fax:
Practice Address - Street 1:2707 PALATINE AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3780
Practice Address - Country:US
Practice Address - Phone:813-230-2981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2020-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9351816363L00000X
WAAP60806831363LX0106X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health