Individual
MS. SUSANNE CAROL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP-BC
Contact information
Practice address
1 UNIVERSITY CIRCLE, MACOMB, IL 61455
(309) 298-1888
(309) 298-2188
Mailing address
1 UNIVERSITY CIRCLE, MACOMB, IL 61455
(309) 298-1888
(309) 298-2188
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-003279
IL
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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