Provider Demographics
NPI:1164561502
Name:CAMPAIGN, DEENA R (RNBC)
Entity Type:Individual
Prefix:MRS
First Name:DEENA
Middle Name:R
Last Name:CAMPAIGN
Suffix:
Gender:F
Credentials:RNBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 N ERIE ST
Mailing Address - Street 2:
Mailing Address - City:MAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14757-1090
Mailing Address - Country:US
Mailing Address - Phone:716-661-8333
Mailing Address - Fax:716-661-8364
Practice Address - Street 1:200 E 3RD ST
Practice Address - Street 2:5TH FLOOR, CITY HALL
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-5433
Practice Address - Country:US
Practice Address - Phone:716-661-8333
Practice Address - Fax:716-661-8364
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY425762163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health