Campbell, Nicole Lorelee

Campbell, Nicole Lorelee is an individual health care provider with primary practice located at 20 Auburn Ave , Auburn WA 98002-5404. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Campbell, Nicole Lorelee can be contacted via phone (206) 250-6855.

Contact Information

Primary practice address
20 Auburn Ave Auburn WA 98002-5404
Fax: (206) 296-8403
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI00001700 Washington

Profile Details

NPI number 1699840983
LBN Legal business name Campbell, Nicole Lorelee
Credentials MPH, RD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1699840983 NPPES
Washington MEDICAID 8435695

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