Campbell, Colleen Yvonne
Campbell, Colleen Yvonne is an individual health care provider with primary practice located at 910 Jasmine Dr , Las Cruces NM 88005-1210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Campbell, Colleen Yvonne can be contacted via phone (575) 640-7507.Contact Information
Primary practice address
910 Jasmine Dr
Las Cruces NM 88005-1210
Phone: (575) 640-7507
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R40679 | New Mexico |
Profile Details
| NPI number | 1932179678 |
|---|---|
| LBN Legal business name | Campbell, Colleen Yvonne |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Sep 3rd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932179678 | NPPES |
| New Mexico | MEDICAID | Q6021 |
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