Campbell, Diana Elizabeth

Campbell, Diana Elizabeth is an individual health care provider with primary practice located at 3610 Bush St , Raleigh NC 27609-7511. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Campbell, Diana Elizabeth can be contacted via phone (919) 876-3130.

Contact Information

Primary practice address
3610 Bush St Raleigh NC 27609-7511
Phone: (919) 876-3130
Fax: (919) 876-3134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 6786 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 6786 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5010155 North Carolina

Profile Details

NPI number 1992257232
LBN Legal business name Campbell, Diana Elizabeth
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2016
Last updated Aug 31st, 2023 - about last year

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 1992257232 NPPES
Connecticut Other 008069118 CAMPBELL MEDICAID #

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