Provider Demographics
NPI:1790945731
Name:REES, CAMILLE (NP)
Entity Type:Individual
Prefix:MS
First Name:CAMILLE
Middle Name:
Last Name:REES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CAMILLE
Other - Middle Name:
Other - Last Name:CORDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15013 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21738-9635
Mailing Address - Country:US
Mailing Address - Phone:410-489-0769
Mailing Address - Fax:240-379-6060
Practice Address - Street 1:5500 BUCKEYSTOWN PIKE
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-8331
Practice Address - Country:US
Practice Address - Phone:240-379-6000
Practice Address - Fax:240-379-6050
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR164112363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health