Provider Demographics
NPI:1427371855
Name:WATSON-CAMPBELL, STEPHANIE LOUISE (CD CPD CLC LCCE CPST)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:LOUISE
Last Name:WATSON-CAMPBELL
Suffix:
Gender:F
Credentials:CD CPD CLC LCCE CPST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E 62ND AVE
Mailing Address - Street 2:#379
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-1104
Mailing Address - Country:US
Mailing Address - Phone:970-682-4840
Mailing Address - Fax:
Practice Address - Street 1:1001 E 62ND AVE
Practice Address - Street 2:#379
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-1104
Practice Address - Country:US
Practice Address - Phone:970-682-4840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2013-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator
No183700000XPharmacy Service ProvidersPharmacy Technician