# DR. CATHIE N CAMPBELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447273255
- **Gender:** F
- **Credential:** DNP,PMHNP-BC,GNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | 539050 | TX | — |
| 363LG0600X | Gerontology Nurse Practitioner | AP111274 | TX | — |
| 363LG0600X | Gerontology Nurse Practitioner | R50899 | ND | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | R50899 | ND | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 12/03/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1482912 | — | ND |
| 05 | — | 153607009 | — | TX |
| 05 | — | 210880003 | — | ID |
| 05 | — | 54433819 | — | NM |
| 01 | — | NP8053 | BCBS PROVIDER | TX |