Provider Demographics
NPI:1548830474
Name:CARWILE, KAMILA (CRNA)
Entity type:Individual
Prefix:
First Name:KAMILA
Middle Name:
Last Name:CARWILE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3709 W 8140 S
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-4473
Mailing Address - Country:US
Mailing Address - Phone:443-422-5128
Mailing Address - Fax:
Practice Address - Street 1:7341 N 1ST ST STE 106
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2948
Practice Address - Country:US
Practice Address - Phone:559-908-1465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-01
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8903768-3102163WC0200X
CA95152081163WC0200X
AZ319770367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine