Individual
MELANIE ELIZABETH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, FNP-C
Contact information
Practice address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 773-0040
Mailing address
190 RIVERSIDE ST UNIT 6B, PORTLAND, ME 04103-1073
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN58475
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP1511148
ME
363LF0000X
Family Nurse Practitioner
F337589-1
NY
Other
Enumeration date
10/03/2012
Last updated
09/05/2024
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