Individual
AMANDA KRISTEN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 MEDICAL PARK DR, STE 210, CONCORD, NC 28025-2948
(704) 403-6100
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019403
NC
363LC0200X
Critical Care Medicine Nurse Practitioner
5019403
NC
Other
Enumeration date
09/28/2023
Last updated
07/24/2024
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