Provider Demographics
NPI:1548798267
Name:CAMPBELL, BARBARA DENISE
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:DENISE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 OCEAN TER
Mailing Address - Street 2:APT 16
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050
Mailing Address - Country:US
Mailing Address - Phone:305-407-7352
Mailing Address - Fax:305-204-4180
Practice Address - Street 1:5301 OCEAN TER APT 16
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-2617
Practice Address - Country:US
Practice Address - Phone:305-407-7352
Practice Address - Fax:305-204-4180
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0946002163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health