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NPI Code Detail

MEDICARE: DEBRA CAMPERUD

MEDICARE: DEBRA CAMPERUD
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
1172A00000XDriver
2175T00000XPeer Specialist
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1861860322
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA CAMPERUD
Provider Business Mailing Address
First Line : 215 S 4TH ST
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-4737
Country : US
Telephone Number : 701-740-6506
Fax Number :
Provider Business Practice Location Address
First Line : 215 S 4TH ST
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-4737
Country : US
Telephone Number : 701-740-6506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2015
Last Update Date : 04/30/2024

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Directions to “ DEBRA CAMPERUD ” Practice Location

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