Doctor Name: | PAMELA CAMPBELL |
NPI Number: | 1023368271 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0017140682 |
Business Practice Address: | 300 Ballenger Center Dr Frederick, MD - 217037096 |
Business Phone Number: | 8663892727 |
Business Fax Number: | |
Mailing Address: | 300 Ballenger Center Dr, FREDERICK |
State: | MD |
Postal Code: | 217037096 |
Phone Number: | 8663892727 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2012 |
NPI Last Update Date: | 12/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0017140682 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |