Individual
ANGELINA SUZANNE CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8400 OSUNA RD NE STE 2D, ALBUQUERQUE, NM 87111-2069
(877) 522-1275
(509) 491-3031
Mailing address
5615 DUNBARTON AVE, PASCO, WA 99301-8216
(509) 222-1275
(509) 491-3031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-75622
NM
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
AP61145506
WA
363L00000X
Nurse Practitioner
58262
NM
363L00000X
Nurse Practitioner
Primary
AP61145506
WA
Other
Enumeration date
10/02/2019
Last updated
05/17/2023
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