Doctor Name: | MRS. MONIQUE J CAMPBELL |
NPI Number: | 1205922762 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R040633 |
Business Practice Address: | 59 Bangor Street Houlton, ME - 04730 |
Business Phone Number: | 2075210022 |
Business Fax Number: | 2075210066 |
Mailing Address: | 42 Court Street, HOULTON |
State: | ME |
Postal Code: | 04730 |
Phone Number: | 2075320566 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | R040633 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |