Provider Demographics
NPI:1831591544
Name:OCAMPO, VIRGILIO (FNP-DNP)
Entity type:Individual
Prefix:MR
First Name:VIRGILIO
Middle Name:
Last Name:OCAMPO
Suffix:
Gender:M
Credentials:FNP-DNP
Other - Prefix:DR
Other - First Name:VIRGILIO
Other - Middle Name:
Other - Last Name:OCAMPO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-DNP
Mailing Address - Street 1:1411 N MELROSE DR # 8-304
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-4912
Mailing Address - Country:US
Mailing Address - Phone:360-265-5407
Mailing Address - Fax:
Practice Address - Street 1:1 MERCY LANE
Practice Address - Street 2:
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055-5191
Practice Address - Country:US
Practice Address - Phone:760-719-4644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60782864363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily