Individual
MS. AMANDA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 720-7305
(304) 720-7310
Mailing address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 720-7305
(304) 720-7310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN60245NP
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810027920
—
WV
Enumeration date
08/21/2014
Last updated
07/21/2022
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