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NPI Code Detail

MEDICARE: SHELLIE SMITH CAMPOS NP

MEDICARE:   SHELLIE SMITH CAMPOS  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN 525510, NP 8676CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NP8676OTHERCANURSE PRACTITIONER

General Provider Information

NPI Number : 1982871331
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLIE SMITH CAMPOS NP
Provider Business Mailing Address
First Line : 2540 EAST ST
Second Line : JOHN MUIR HEALTH BREAST HEALTH CENTER
City : CONCORD
State : CA
Zip : 94520-1906
Country : US
Telephone Number : 925-674-2001
Fax Number : 925-674-2209
Provider Business Practice Location Address
First Line : 133 LA CASA VIA STE 140
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-3005
Country : US
Telephone Number : 925-947-3322
Fax Number : 925-947-3394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2008
Last Update Date : 08/24/2023

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Directions to “ SHELLIE SMITH CAMPOS NP” Practice Location

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