Provider Demographics
NPI:1750548418
Name:BARRUS, CAMELIA IRENE (APRN)
Entity type:Individual
Prefix:
First Name:CAMELIA
Middle Name:IRENE
Last Name:BARRUS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 S 200 E # 135
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84111-3802
Mailing Address - Country:US
Mailing Address - Phone:385-468-4278
Mailing Address - Fax:385-468-4246
Practice Address - Street 1:610 S 200 E # 135
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84111-3802
Practice Address - Country:US
Practice Address - Phone:385-468-4278
Practice Address - Fax:385-468-4246
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT213627-4405163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse