Provider Demographics
NPI:1093455560
Name:CAMARA, MICHELE ROSEANNA (NP)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:ROSEANNA
Last Name:CAMARA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:MICHELE
Other - Middle Name:ROSEANNA
Other - Last Name:BARKHAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:85 COWLS RD APT B203
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1062
Mailing Address - Country:US
Mailing Address - Phone:857-688-5604
Mailing Address - Fax:413-515-9629
Practice Address - Street 1:85 COWLS RD APT B203
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1062
Practice Address - Country:US
Practice Address - Phone:857-688-5604
Practice Address - Fax:413-515-9629
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN69439163W00000X
MARN2349061163W00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse