Provider Demographics
NPI:1023447232
Name:GARMIRE, CAMERYN MAEGEN
Entity type:Individual
Prefix:
First Name:CAMERYN
Middle Name:MAEGEN
Last Name:GARMIRE
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 1:1005 DWIGHT WAY
Mailing Address - Street 2:NA
Mailing Address - City:DAYTON
Mailing Address - State:NV
Mailing Address - Zip Code:89403
Mailing Address - Country:US
Mailing Address - Phone:916-690-5873
Mailing Address - Fax:
Practice Address - Street 1:1005 DWIGHT WAY
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:NV
Practice Address - Zip Code:89403
Practice Address - Country:US
Practice Address - Phone:916-690-5873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker