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NPI Code Detail

MEDICARE: CHRISTI A CAMPBELL FNP,PHD

MEDICARE: CHRISTI A CAMPBELL FNP,PHD
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner521075TX
2363LF0000XFamily Nurse Practitioner521075TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28Y5079OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1073514667
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTI A CAMPBELL FNP,PHD
Provider Business Mailing Address
First Line : PO BOX 170607
Second Line :
City : AUSTIN
State : TX
Zip : 78717-0032
Country : US
Telephone Number : 512-250-9140
Fax Number : 512-250-2207
Provider Business Practice Location Address
First Line : 11110 TOM ADAMS DR
Second Line :
City : AUSTIN
State : TX
Zip : 78753-3354
Country : US
Telephone Number : 512-250-9140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 05/27/2020

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