Provider Demographics
NPI:1972280642
Name:CAMPBELL, ANGELA (BA, BN)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:BA, BN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3213 ZABEL DR
Mailing Address - Street 2:
Mailing Address - City:LORENA
Mailing Address - State:TX
Mailing Address - Zip Code:76655-3984
Mailing Address - Country:US
Mailing Address - Phone:254-855-9593
Mailing Address - Fax:
Practice Address - Street 1:4300 W WACO DR STE B2-228
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7010
Practice Address - Country:US
Practice Address - Phone:254-307-0377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula