CAMILLE DESIREE MARKHAM PMHNP-BC NPI 1972114023

NPI Information

NPI: 1972114023
Provider Name: CAMILLE DESIREE MARKHAM, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5325 SR 64
BRADENTON, FL
ZIP 34208
Phone: (941) 277-9922
Get Directions

Camille Desiree Markham, PMHNP-BC is a psychiatric/mental health nurse practitioner in Bradenton, FL with 4 years of experience. Camille Desiree Markham, PMHNP-BC NPI is 1972114023. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5325 SR 64
BRADENTON, FL
ZIP 34208
Phone: (941) 277-9922
Fax: (941) 277-9933

The NPI 1972114023 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/12/2020 and was last updated on 8/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		2900802	FLORIDA	No
2	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	11007822	FLORIDA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1107822	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	108066500	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »