Individual
DIANA ELIZABETH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3610 BUSH ST, RALEIGH, NC 27609-7511
(919) 876-3130
(919) 876-3134
Mailing address
2326 GLASCOCK ST, RALEIGH, NC 27610-1602
(203) 528-5447
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5010155
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
6786
CT
363LP2300X
Primary Care Nurse Practitioner
6786
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008069118
CAMPBELL MEDICAID #
CT
Enumeration date
11/03/2016
Last updated
11/22/2025
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