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KAREN D CAMPBELL FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1508889049

Individual Registrant:
 KAREN D CAMPBELL FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
23400 US HIGHWAY 160  WALSENBURG, CO 81089-8100 US
Tel: 719-738-4590  Fax: 719-738-4553

Contact information for business:
23400 US HIGHWAY 160  WALSENBURG, CO 81089-8100 US
Tel: 719-738-4590  Fax: 719-738-4553

Registration Information:
NPI: 1508889049
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
COAPN.0003829-NP
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CO62851

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
36235041CO05




HEALTH CARE JOBS CO - Page 1



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