Individual
CAROL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0000936
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004194966
—
CT
01
—
500022800
RAILROAD MEDICARE
CT
01
—
CA7937
RAILROAD MEDICARE GROUP #
CT
Enumeration date
10/25/2005
Last updated
02/03/2010
Update your record
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