Provider Demographics
NPI:1225825060
Name:VILCEANU, CAMELIA (NP)
Entity type:Individual
Prefix:
First Name:CAMELIA
Middle Name:
Last Name:VILCEANU
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 E UNION HILLS DR UNIT 2022
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-3044
Mailing Address - Country:US
Mailing Address - Phone:480-669-6848
Mailing Address - Fax:
Practice Address - Street 1:2990 E NORTHERN AVE STE C103
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-4839
Practice Address - Country:US
Practice Address - Phone:602-641-9505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ236905207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine