Individual
ANNE E CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 S MAIN STREET, UPLAND, IN 46989
(765) 660-7520
(765) 671-3514
Mailing address
330 N WABASH, STE G20, MARION, IN 46952
(765) 660-7600
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008222A
IN
363LG0600X
Gerontology Nurse Practitioner
71008222A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000199439
ANTHEM
IN
05
—
300018710
—
IN
Enumeration date
05/24/2018
Last updated
10/26/2018
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