Provider Demographics
NPI:1508901026
Name:CAMPBELL, DELLA ANNE (PHD, APRN-C)
Entity Type:Individual
Prefix:DR
First Name:DELLA
Middle Name:ANNE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PHD, APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-2607
Mailing Address - Country:US
Mailing Address - Phone:732-261-5169
Mailing Address - Fax:
Practice Address - Street 1:800 WESTCHESTER AVE
Practice Address - Street 2:SUITE 540
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1354
Practice Address - Country:US
Practice Address - Phone:914-381-0300
Practice Address - Fax:914-381-0301
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC05605800363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health