Individual
SUSAN CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2293 N MAIN ST, CROWN POINT, IN 46307-1854
(219) 755-3385
Mailing address
2293 N MAIN ST, CROWN POINT, IN 46307-1854
(219) 755-3385
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71016544A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71016544A
APRN PRESCRIBING PRIVILEGE
IN
Enumeration date
03/22/2025
Last updated
11/25/2025
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