Provider Demographics
NPI:1164318622
Name:CAMARGO, ANDREW JACKSON (FNP-C)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:JACKSON
Last Name:CAMARGO
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 N GARSDEN AVE
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-2632
Mailing Address - Country:US
Mailing Address - Phone:626-893-6059
Mailing Address - Fax:
Practice Address - Street 1:715 N GARSDEN AVE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-2632
Practice Address - Country:US
Practice Address - Phone:626-893-6059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program