Immanuel, Camille Nina

Immanuel, Camille Nina is an individual health care provider with primary practice located at 4100 Cobscook Dr , Durham NC 27707-5706. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Immanuel, Camille Nina can be contacted via phone (276) 451-4700.

Contact Information

Primary practice address
4100 Cobscook Dr Durham NC 27707-5706
Phone: (276) 451-4700
Fax: (276) 451-4700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 10549592-1205 Utah

Profile Details

NPI number 1295021483
LBN Legal business name Immanuel, Camille Nina
Credentials MD MHS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2011
Last updated Feb 1st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295021483 NPPES
New Jersey Other #39 STUDENT & EDUCATION

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