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Individual

SCOTT CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
207 1ST ST S, NAMPA, ID 83651-3703
(208) 466-7869
(208) 466-5359
Mailing address
211 16TH AVE NORTH, PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 467-3391

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
57922
ID

Other

Enumeration date
02/22/2018
Last updated
04/14/2018
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