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Individual

DR. CATHIE N CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP,PMHNP-BC,GNP-BC

Contact information

Practice address
1521B 24TH AVE S STE 203, GRAND FORKS, ND 58201-6775
(701) 885-7920
(701) 757-0859
Mailing address
1521B 24TH AVE S STE 203, GRAND FORKS, ND 58201-6775
(701) 885-7920
(701) 757-0859

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
539050
TX
363LG0600X
Gerontology Nurse Practitioner
AP111274
TX
363LG0600X
Gerontology Nurse Practitioner
R50899
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R50899
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1482912
ND
05
153607009
TX
05
210880003
ID
05
54433819
NM
01
NP8053
BCBS PROVIDER
TX
Enumeration date
07/25/2006
Last updated
12/03/2021
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