Provider Demographics
NPI:1891183620
Name:CAMPBELL, MARYANN FRANCES (RNC-NIC MS CNS)
Entity Type:Individual
Prefix:MRS
First Name:MARYANN
Middle Name:FRANCES
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:RNC-NIC MS CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 BUTTERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-1441
Mailing Address - Country:US
Mailing Address - Phone:415-895-5181
Mailing Address - Fax:
Practice Address - Street 1:234 BUTTERFIELD DR
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-1441
Practice Address - Country:US
Practice Address - Phone:415-895-5181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-01
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACNS 418163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care