Individual
DIANE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
6415 PETERS CREEK RD, ROANOKE, VA 24019-4021
(540) 265-5500
(540) 265-5515
Mailing address
6415 PETERS CREEK RD, ROANOKE, VA 24019-4021
(540) 265-5500
(540) 265-5515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175390
VA
Other
Enumeration date
10/04/2017
Last updated
09/27/2018
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