Provider Demographics
NPI:1518466424
Name:CAMARGO, JULIA BOSSEMEYER (CRNP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:BOSSEMEYER
Last Name:CAMARGO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4660 KENMORE AVE STE 1210
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-1311
Mailing Address - Country:US
Mailing Address - Phone:703-461-0700
Mailing Address - Fax:
Practice Address - Street 1:4660 KENMORE AVE STE 1210
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1311
Practice Address - Country:US
Practice Address - Phone:703-461-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175826363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health