Organization
ABUNDANT LIFE ENTERPRISES, LLC
Active
Other names
A New Creation Women's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON R. CAMPBELL WHNP-C (OWNER)
(520) 293-1117
Entity
Organization
Contact information
Practice address
3055 W INA RD, SUITE 195, TUCSON, AZ 85741-2107
(520) 293-1117
(520) 293-7701
Mailing address
3055 W. INA RD., #195, TUCSON, AZ 85741-2136
(520) 293-1117
(520) 293-7701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192914
—
AZ
05
—
429971
—
AZ
01
—
Z79108
MEDICARE GRP (A.L.E) -
AZ
01
—
Z79110
MEDICARE - (A.L.E. - SC IND )
AZ
Enumeration date
11/12/2009
Last updated
03/16/2016
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