Provider Demographics
NPI:1710581335
Name:CAMERON, AMY MARIA (RN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MARIA
Last Name:CAMERON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5610 STREAM VLY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-5941
Mailing Address - Country:US
Mailing Address - Phone:817-980-5526
Mailing Address - Fax:
Practice Address - Street 1:5610 STREAM VLY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-5941
Practice Address - Country:US
Practice Address - Phone:817-980-5526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX870469163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse