Doctor Name: | MRS. CAROL A CAMPBELL |
NPI Number: | 1053366252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | R110480 |
Business Practice Address: | 700 24th St Fort Lee, VA - 238011716 |
Business Phone Number: | 8047349942 |
Business Fax Number: | 8778741008 |
Mailing Address: | 700 24th St, FORT LEE |
State: | VA |
Postal Code: | 238011716 |
Phone Number: | 8047349942 |
Fax Number: | 8778741008 |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 05/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R110480 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |