# KATIE MARIE CAMPBELL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528662046
- **Authorized official:** KATIE CAMPBELL (OWNER)
- **Authorized official phone:** (563) 581-8129

## Contact information

- **Practice address:** 2600 DODGE ST STE D4, DUBUQUE, IA 52003-7161
- **Practice address phone:** (563) 581-8129
- **Mailing address:** 2225 ANTLER RIDGE DR, ASBURY, IA 52002-8210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2020
- **Last updated:** 11/25/2020
