Provider Demographics
NPI:1124537568
Name:CAMPBELL, CAITLIN CHRISTINE (CNM, ARNP, RN)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:CHRISTINE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:CNM, ARNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13120 E. 19TH AVENUE
Mailing Address - Street 2:MAIL STOP C288-05
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF COLORADO HOSPITAL
Practice Address - Street 2:1635 AURORA COURT, AOP 3435
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:720-848-1738
Practice Address - Fax:720-848-1844
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201710435RN163W00000X
CORN.1665089163W00000X
WARN60768280163W00000X
WAAP60903541367A00000X
OR202100978NP-PP367A00000X
COAPN.0995184-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse