Provider Demographics
NPI:1184688822
Name:CAMPBELL, SARAH ANN (APRN, BC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ANN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3085 N CONCOURSE DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-9132
Mailing Address - Country:US
Mailing Address - Phone:989-772-3672
Mailing Address - Fax:
Practice Address - Street 1:249 FOUST
Practice Address - Street 2:CMU HEALTH SERVICES
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48859-0001
Practice Address - Country:US
Practice Address - Phone:989-774-6598
Practice Address - Fax:989-774-4335
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704071692363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health