Individual
MS. ELIZABETH A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1874 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5545
(772) 337-7676
(772) 337-7676
Mailing address
1874 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5545
(772) 337-7676
(772) 337-7676
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3176702
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308792100
—
FL
01
—
G2473
BCBS
FL
01
—
P00922035
RR MEDICARE
FL
Enumeration date
05/03/2006
Last updated
02/26/2013
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