Doctor Name: | MRS. SARA LEE CAMPBELL |
NPI Number: | 1134434525 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN CNS-BC |
License Number: | CNS-00223 |
Business Practice Address: | 1600 North Main Lovington, NM - 882602813 |
Business Phone Number: | 5753966611 |
Business Fax Number: | 5753961454 |
Mailing Address: | 122 S Gold Ave, Ste 3 DEMING |
State: | NM |
Postal Code: | 880303755 |
Phone Number: | 5755447280 |
Fax Number: | 5755447281 |
NPI Enumeration Date: | 08/10/2010 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | CNS-00223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |