Individual
IDA LOUISE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
502 54TH AVE E, FIFE, WA 98424-2724
(253) 459-7500
(253) 459-7527
Mailing address
502 54TH AVE E, FIFE, WA 98424-2724
(253) 459-7500
(253) 459-7527
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
200650038NP
OR
363LF0000X
Family Nurse Practitioner
Primary
AP30003481
WA
Other
Enumeration date
08/23/2006
Last updated
09/10/2014
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