Individual
ANGELA MARIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
58 BAY HARBOUR DR, PONCE INLET, FL 32127-7241
(386) 231-6300
Mailing address
58 BAY HARBOUR DR, PONCE INLET, FL 32127-7241
(386) 231-6300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP1558172
FL
363LF0000X
Family Nurse Practitioner
Primary
AP60748124
WA
363LF0000X
Family Nurse Practitioner
N360751709
WA
Other
Enumeration date
12/09/2011
Last updated
08/12/2020
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