# SUSAN L CAMPBELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063413029
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | APRN.CNM.10196 | OH | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 11/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000259823 | OH MEDICAID UNISON | OH |
| 01 | — | 2882288 | OH MEDICAID MOLINA | OH |
| 05 | — | 2882288 | — | OH |
| 01 | — | 310917085201 | OH MEDICAID CARESOURCE | OH |
| 05 | — | 3810013422 | — | WV |
| 01 | — | P00665594 | RAILROAD MEDICARE | — |