Provider Demographics
NPI:1295019826
Name:CAMPFIELD, MARILENA (RN)
Entity Type:Individual
Prefix:
First Name:MARILENA
Middle Name:
Last Name:CAMPFIELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARILENA
Other - Middle Name:
Other - Last Name:PASIMIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17800 US HIGHWAY 18
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-1221
Mailing Address - Country:US
Mailing Address - Phone:760-242-6336
Mailing Address - Fax:760-346-0819
Practice Address - Street 1:17800 US HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1221
Practice Address - Country:US
Practice Address - Phone:760-242-6336
Practice Address - Fax:760-346-0819
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA546996163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health