Provider Demographics
NPI:1396193496
Name:CAMERON, BRIGETTE
Entity Type:Individual
Prefix:
First Name:BRIGETTE
Middle Name:
Last Name:CAMERON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 CITYVIEW CIRCLE
Mailing Address - Street 2:
Mailing Address - City:BARRIE
Mailing Address - State:ON
Mailing Address - Zip Code:L4N7V2
Mailing Address - Country:CA
Mailing Address - Phone:517-366-8037
Mailing Address - Fax:
Practice Address - Street 1:1325 WILLIAMS ST
Practice Address - Street 2:1294 CAINE STUDENT CENTER
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-2563
Practice Address - Country:US
Practice Address - Phone:517-366-8037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-30
Last Update Date:2016-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program