Provider Demographics
NPI:1235476334
Name:CAMPA, JULIANA ELENA (RN)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:ELENA
Last Name:CAMPA
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 1:199 SW 12TH AVE APT 302
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1056
Mailing Address - Country:US
Mailing Address - Phone:786-718-8189
Mailing Address - Fax:
Practice Address - Street 1:2350 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4916
Practice Address - Country:US
Practice Address - Phone:350-541-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 1599712163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse