Healthcare Provider Details

I. General information

NPI: 1346926771
Provider Name (Legal Business Name): ANABELLE ELENE CAMPBELL AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANABELLE ELENE ROSS

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 N LINCOLN ST APT 15A
DENVER CO
80203-2768
US

IV. Provider business mailing address

925 N LINCOLN ST APT 15A
DENVER CO
80203-2768
US

V. Phone/Fax

Practice location:
  • Phone: 720-500-5488
  • Fax: 720-815-0378
Mailing address:
  • Phone: 720-500-5488
  • Fax: 720-815-0378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN.0998774-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPN.0998774-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: