Individual
MRS. ELIZABETH A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 S FAIRVIEW AVE, DECATUR, IL 62522-2852
(217) 424-6360
(217) 422-5542
Mailing address
2300 N EDWARD ST, GSBLL, DECATUR, IL 62526-4163
(217) 876-2857
(217) 876-2874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209000549
IL
Other
Enumeration date
04/17/2009
Last updated
09/15/2014
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