Individual
MARY E CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
164940
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
067174-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100171
—
NH
Enumeration date
12/04/2007
Last updated
01/15/2019
Update your record
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