Provider Demographics
NPI:1083402341
Name:SEYMORE, CAMALA MIKA (RNFA)
Entity type:Individual
Prefix:
First Name:CAMALA
Middle Name:MIKA
Last Name:SEYMORE
Suffix:
Gender:
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 TWIN BROOKS DR
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-3903
Mailing Address - Country:US
Mailing Address - Phone:267-971-7169
Mailing Address - Fax:
Practice Address - Street 1:8 TWIN BROOKS DR
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-3903
Practice Address - Country:US
Practice Address - Phone:267-971-7169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN598544163WR0006X
NJ26NR25568700202C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant