Healthcare Provider Details

I. General information

NPI: 1750543773
Provider Name (Legal Business Name): DAVID J CAMPOPIANO, ARNP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 ROUTE 103
SUNAPEE NH
03782-3512
US

IV. Provider business mailing address

PO BOX 2684
NEW LONDON NH
03257-2684
US

V. Phone/Fax

Practice location:
  • Phone: 603-863-7000
  • Fax: 603-863-7550
Mailing address:
  • Phone: 603-863-7000
  • Fax: 603-863-7550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number051693-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number051693-23
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number051693-23
License Number StateNH

VIII. Authorized Official

Name: DAVID CAMPOPIANO JR.
Title or Position: OWNER/PCP PROVIDER
Credential: ARNP
Phone: 603-863-7000