Doctor Name: | LISA M CAMPANA |
NPI Number: | 1396003992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | L1-0025244 |
Business Practice Address: | 234 Brandywine Dr Bear, DE - 197011269 |
Business Phone Number: | 3025593151 |
Business Fax Number: | |
Mailing Address: | 234 Brandywine Dr, BEAR |
State: | DE |
Postal Code: | 197011269 |
Phone Number: | 3025593151 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2012 |
NPI Last Update Date: | 05/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | L1-0025244 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |