Healthcare Provider Details

I. General information

NPI: 1629951280
Provider Name (Legal Business Name): STEPHANIE CAMPBELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ROBINSON PLZ STE 340
PITTSBURGH PA
15205-1018
US

IV. Provider business mailing address

619 CARTERS GROVE DR
GIBSONIA PA
15044-9567
US

V. Phone/Fax

Practice location:
  • Phone: 412-254-8348
  • Fax:
Mailing address:
  • Phone: 724-987-8592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP033472
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: