Individual
CANDICE S CAMPBELL
Active
Individual
CANDICE S CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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