Provider Demographics
NPI:1598452633
Name:DUFFY, CAMPBELL MCNALLY (BSN, RN, MSN, FNP)
Entity Type:Individual
Prefix:MISS
First Name:CAMPBELL
Middle Name:MCNALLY
Last Name:DUFFY
Suffix:
Gender:F
Credentials:BSN, RN, MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 E 12TH AVE APT 509
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2526
Mailing Address - Country:US
Mailing Address - Phone:201-788-3332
Mailing Address - Fax:
Practice Address - Street 1:550 E 12TH AVE APT 509
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2526
Practice Address - Country:US
Practice Address - Phone:201-788-3332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0998819-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily