Individual
NIKKI E CAMPAGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
1912 SE 1ST TER, CAPE CORAL, FL 33990
(407) 451-3886
Mailing address
520 VALENCIA ST, SANFORD, FL 32771-3566
(407) 451-3886
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871840470
—
FL
Enumeration date
08/14/2012
Last updated
07/25/2018
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