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Individual

CANDICE S CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
28164598A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201059440
IN
01
CAM104363128
NCC
IN
01
P01512395
MEDICARE RR
IN
Enumeration date
03/26/2012
Last updated
11/27/2023
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