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Individual
DIANA ELIZABETH CAMPBELL
Active
Individual
DIANA ELIZABETH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5010155
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
6786
CT
363LP2300X
Primary Care Nurse Practitioner
6786
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008069118
CAMPBELL MEDICAID #
CT
Enumeration date
11/03/2016
Last updated
11/22/2025
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