Campbell, Angela Marie

Campbell, Angela Marie is an individual health care provider with primary practice located at 2011 Nw 3 Ave , Pompano Beach FL 33060-4800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Campbell, Angela Marie can be contacted via phone (954) 786-5901.

Contact Information

Primary practice address
2011 Nw 3 Ave Pompano Beach FL 33060-4800
Phone: (954) 786-5901
Fax: (954) 786-0129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP9169480 Florida

Profile Details

NPI number 1801133855
LBN Legal business name Campbell, Angela Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2013
Last updated Oct 13th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801133855 NPPES
Florida MEDICAID 010423100

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