Provider Demographics
NPI:1407377450
Name:CAMPBELL, WENSDEE MARIE (LPN)
Entity Type:Individual
Prefix:
First Name:WENSDEE
Middle Name:MARIE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 JORDAN CT
Mailing Address - Street 2:
Mailing Address - City:ORWELL
Mailing Address - State:OH
Mailing Address - Zip Code:44076-9524
Mailing Address - Country:US
Mailing Address - Phone:440-661-0700
Mailing Address - Fax:
Practice Address - Street 1:113 JORDAN CT
Practice Address - Street 2:
Practice Address - City:ORWELL
Practice Address - State:OH
Practice Address - Zip Code:44076-9524
Practice Address - Country:US
Practice Address - Phone:440-661-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN163431164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse