Doctor Name: | BETTY SUZANNE KAMPMAN |
NPI Number: | 1184016834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | COA16402NP |
Business Practice Address: | 34055 Solon Rd Uh Solon Health Center Ste 104 A Solon, OH - 441392662 |
Business Phone Number: | 4402481630 |
Business Fax Number: | |
Mailing Address: | 7792 Hudson Park Dr, HUDSON |
State: | OH |
Postal Code: | 442362384 |
Phone Number: | 2162443982 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2015 |
NPI Last Update Date: | 03/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA16402NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |