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NPI Code Detail

MEDICARE: CARLA CAMPBELL NP-C

MEDICARE:   CARLA  CAMPBELL  NP-C
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 Practitioner12940MT

General Provider Information

NPI Number : 1003186677
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA CAMPBELL NP-C
Provider Business Mailing Address
First Line : 445 CENTENNIAL AVE
Second Line :
City : BUTTE
State : MT
Zip : 59701-2870
Country : US
Telephone Number : 406-723-4075
Fax Number : 406-723-5060
Provider Business Practice Location Address
First Line : 55 E GALENA ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-1703
Country : US
Telephone Number : 406-723-4075
Fax Number : 406-723-5060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2012
Last Update Date : 12/20/2018

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Directions to “ CARLA CAMPBELL NP-C” Practice Location

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