Provider Demographics
NPI:1114784253
Name:CAMPFIELD, KATRICE CALLIE
Entity Type:Individual
Prefix:
First Name:KATRICE
Middle Name:CALLIE
Last Name:CAMPFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3578A HAYES ST NE APT 202
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-7507
Mailing Address - Country:US
Mailing Address - Phone:202-487-9062
Mailing Address - Fax:
Practice Address - Street 1:3303 5TH ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-5423
Practice Address - Country:US
Practice Address - Phone:202-491-3343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant