Healthcare Provider Details

I. General information

NPI: 1780664680
Provider Name (Legal Business Name): CHRISTINE MARIE CAMPTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 06/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23625 HOLMAN HWY
MONTEREY CA
93940-5902
US

IV. Provider business mailing address

1555 MERRILL ST SPC 174
SANTA CRUZ CA
95062-4025
US

V. Phone/Fax

Practice location:
  • Phone: 831-622-8017
  • Fax: 831-622-8066
Mailing address:
  • Phone: 520-403-6345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberRN030691
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberNPF16312
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: