Individual
MRS. CAROL A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
102 WEST BROADDUS AVE STE 200, SUITE 200, BOWLING GREEN, VA 22427-2242
(804) 632-1030
(804) 632-1033
Mailing address
102 WEST BROADDUS AVE, SUITE 200, BOWLING GREEN, VA 22427-1596
(804) 632-1030
(804) 632-1033
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R110480
MD
363LF0000X
Family Nurse Practitioner
Primary
0024167891
VA
Other
Enumeration date
05/24/2006
Last updated
04/03/2024
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