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Individual

MS. COLLEEN YVONNE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
910 JASMINE DR, LAS CRUCES, NM 88005-1210
(575) 640-7507
Mailing address
910 JASMINE DR, LAS CRUCES, NM 88005-1210
(575) 640-7507

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R40679
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q6021
NM
Enumeration date
01/25/2006
Last updated
09/03/2012
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