Provider Demographics
NPI:1659245850
Name:CAMPOS, TRESA (RN BSN)
Entity type:Individual
Prefix:
First Name:TRESA
Middle Name:
Last Name:CAMPOS
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6519 SYCAMORE RD
Mailing Address - Street 2:
Mailing Address - City:CENTERBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43011-9417
Mailing Address - Country:US
Mailing Address - Phone:740-405-0898
Mailing Address - Fax:
Practice Address - Street 1:6519 SYCAMORE RD
Practice Address - Street 2:
Practice Address - City:CENTERBURG
Practice Address - State:OH
Practice Address - Zip Code:43011-9417
Practice Address - Country:US
Practice Address - Phone:740-405-0898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH382868163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse